Lawrence Marvin Clark in Tucson - General Practice
Lawrence Marvin Clark - NPI 1619083987
Lawrence Marvin Clark is a General Practice in Tucson, Arizona. Lawrence Marvin Clark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lawrence Marvin Clark is 1619083987. The last update date is 2007-07-08.
Lawrence Marvin Clark's current location address is 1002 W San Martin Dr, Tucson, Arizona. You can contact this provider via phone number 5207420716 and fax number 5205758368. The mailing address for Lawrence Marvin Clark is 1002 W San Martin Dr, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Marvin Clark |
|---|---|
| Address | 1002 W San Martin Dr, Tucson, Arizona |
| Phone Number | 5207420716 |
| Fax Number | 5205758368 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619083987 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1002 W San Martin Dr |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857043143 |
| Phone Number | 5207420716 |
| Fax Number | 5205758368 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 12309 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Post Comment/ Review Below
What is the unique identification code assigned to Lawrence Marvin Clark by the Centers for Medicare & Medicaid Services?
The Lawrence Marvin Clark has been issued the NPI (National Provider Identifier) 1619083987. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lawrence Marvin Clark?
The Lawrence Marvin Clark is physically situated at 1002 W San Martin Dr, in the city of Tucson, state of AZ, with the postal code 857043143.
What is Lawrence Marvin Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lawrence Marvin Clark is General Practice, and the taxonomy code that classifies this field of practice is 208D00000X.
On what date did the Lawrence Marvin Clark receive its 1619083987 assignment from the Centers for Medicare & Medicaid Services?
The Lawrence Marvin Clark was assigned its 1619083987 by the Centers for Medicare & Medicaid Services on 2006-08-21.
When was the information pertaining to Lawrence Marvin Clark most recently updated or revised?
The details related to Lawrence Marvin Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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