Marisol C Clark in Lexington - Addiction Medicine
Marisol C Clark - NPI 1578613030
Marisol C Clark is a Addiction Medicine in Lexington, Kentucky. Marisol C Clark practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Marisol C Clark is 1578613030. The last update date is 2023-08-17.
Marisol C Clark's current location address is 1221 S Broadway, Lexington, Kentucky. You can contact this provider via phone number 8592586200 and fax number 8592586203. The mailing address for Marisol C Clark is 1221 S Broadway, Lexington, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marisol C Clark |
|---|---|
| Address | 1221 S Broadway, Lexington, Kentucky |
| Phone Number | 8592586200 |
| Fax Number | 8592586203 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1578613030 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2023-08-17 |
Provider Mailing Address Detail
| Address | 1221 S Broadway |
|---|---|
| City | Lexington |
| State | Kentucky (KY) |
| Post Code | 405042701 |
| Phone Number | 8592586200 |
| Fax Number | 8592586203 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | 49101 |
|
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100443440 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Marisol C Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Marisol C Clark has been assigned the NPI (National Provider Identifier) 1578613030. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Marisol C Clark is located?
The Marisol C Clark is situated at the following address: 1221 S Broadway, Lexington, KY, 405042701.
What is Marisol C Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Marisol C Clark is Addiction Medicine, and the taxonomy code that classifies this field of practice is 207Qa0401X.
On what date did the Marisol C Clark receive its 1578613030 assignment from the Centers for Medicare & Medicaid Services?
The Marisol C Clark was assigned its 1578613030 by the Centers for Medicare & Medicaid Services on 2007-01-10.
As of what date were the Marisol C Clark's details last updated?
The information pertaining to the Marisol C Clark, including its address, specialty, and other details, was most recently updated on 2023-08-17.