DR. Jacob Scott Clark, D.C.

NPI #1003864620 in Lafayette, Louisiana

Provider Information

NPI Number: 1003864620
Entity Type: Individual
Name: DR. Jacob Scott Clark, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: May 5, 2006
Last Updated: May 2, 2008

Practice Location

Address: 854C KALISTE SALOOM RD
City: Lafayette
State: Louisiana
ZIP Code: 70508-4210
Phone: (337) 232-3353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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