Lowell F. Clark in Bushnell - Internal Medicine

Lowell F. Clark - NPI 1336103563

Lowell F. Clark is a Internal Medicine in Bushnell, Florida. Lowell F. Clark practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Lowell F. Clark is 1336103563. The last update date is 2007-12-21.

Lowell F. Clark's current location address is 212 S Florida St, Bushnell, Florida. You can contact this provider via phone number 3527932441 and fax number 3527933282. The mailing address for Lowell F. Clark is 212 S Florida St, Bushnell, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Lowell F. Clark
Address 212 S Florida St, Bushnell, Florida
Phone Number 3527932441
Fax Number 3527933282
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1336103563
Provider Enumeration Date 2006-04-14
Last Updated Date 2007-12-21

Provider Mailing Address Detail

Address 212 S Florida St
City Bushnell
State Florida (FL)
Post Code 335136703
Phone Number 3527932441
Fax Number 3527933282

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No ME0045090
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
35207 FL BCBS PROVIDER ID

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FAQs about Lowell F. Clark

What is the unique 10-digit identifier code issued to Lowell F. Clark by the Centers for Medicare & Medicaid Services?

The Lowell F. Clark has been assigned the NPI (National Provider Identifier) 1336103563 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Lowell F. Clark is geographically located?

The Lowell F. Clark is physically situated at the following location: 212 S Florida St, Bushnell, FL, 335136703.

What is Lowell F. Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lowell F. Clark is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

When did Lowell F. Clark receive its 1336103563 assignment?

The Lowell F. Clark was assigned its 1336103563 on 2006-04-14, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Lowell F. Clark last refreshed?

The information related to the Lowell F. Clark, including its address, specialty, and other relevant details, was last updated on 2007-12-21.

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