Lori J Clark O.D.

NPI 1073575213 - Optometrist - 152W00000X

NPI Details
NPI 1073575213
Gender Female
Enumeration Date 04/04/2006
Last Updated 11/19/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1145 MANHATTAN AVE
MANHATTAN BEACH CA, 90266-5333, US
Phone (310) 546-4618
Fax (310) 546-9268
Business Location
1145 MANHATTAN AVE
MANHATTAN BEACH CA, 90266-5333, US
Phone (310) 546-4618
Fax (310) 546-9268
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number OP8950T
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According to our database, Dr. Lori J Clark O.D. NPI is 1073575213, taxonomy code is 152W00000X and license number is OP8950T, license state is located at California. Lori J Clark O.D. physically located at 1145 Manhattan Ave, Manhattan Beach CA, 90266-5333. NPI Number Lori J Clark O.D. has the Individual type.

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1073575213 NPI number is provided on an as is basis without warranty of any kind. 1073575213 is maintained by the National Plan & Provider Enumeration System. The contents of Lori J Clark O.D. are for informational purposes only.