Lamar Wayne Clark in Fayetteville - Nurse Anesthetist, Certified Registered

Lamar Wayne Clark - NPI 1831186063

Lamar Wayne Clark is a Nurse Anesthetist, Certified Registered in Fayetteville, North Carolina. Lamar Wayne Clark practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Lamar Wayne Clark is 1831186063. The last update date is 2012-03-20.

Lamar Wayne Clark's current location address is Po Box 40908, Fayetteville, North Carolina. You can contact this provider via phone number 9106156448 and fax number 9106155070. The mailing address for Lamar Wayne Clark is Po Box 40908, Fayetteville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Lamar Wayne Clark
Address Po Box 40908, Fayetteville, North Carolina
Phone Number 9106156448
Fax Number 9106155070
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1831186063
Provider Enumeration Date 2005-10-03
Last Updated Date 2012-03-20

Provider Mailing Address Detail

Address Po Box 40908
City Fayetteville
State North Carolina (NC)
Post Code 283090908
Phone Number 9106156448
Fax Number 9106155070

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 176844
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8051599 NC --
D3745 NC MEDCOST

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FAQs about Lamar Wayne Clark

What is the unique provider identifier assigned to Lamar Wayne Clark?

The Lamar Wayne Clark has been issued the NPI (National Provider Identifier) 1831186063 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Lamar Wayne Clark is located?

The Lamar Wayne Clark is situated at the following address: Po Box 40908, Fayetteville, NC, 283090908.

What is the Lamar Wayne Clark's specialty and taxonomy code?

The Lamar Wayne Clark's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1831186063 to Lamar Wayne Clark?

The Lamar Wayne Clark received its 1831186063 assignment from the Centers for Medicare & Medicaid Services on 2005-10-03.

As of what date was the information regarding Lamar Wayne Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lamar Wayne Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-03-20.

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