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 |
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Address | Po Box 40908, Fayetteville, North Carolina |
Phone Number | 9106156448 |
Fax Number | 9106155070 |
Sole Proprietor | N |
Credentials | CRNA |
NPI Number Detail
NPI Number | 1831186063 |
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Provider Enumeration Date | 2005-10-03 |
Last Updated Date | 2012-03-20 |
Provider Mailing Address Detail
Address | Po Box 40908 |
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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 |
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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 |
Post Comment/ Review Below
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.