Lavonne D Clark, DC

NPI #1053402883 in Phoenix, Arizona

Provider Information

NPI Number: 1053402883
Entity Type: Individual
Name: Lavonne D Clark, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Sep 27, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 2826 W NORTHERN AVE
City: Phoenix
State: Arizona
ZIP Code: 85051-6626
Phone: (602) 995-3755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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