DR. Nicole C. Clark, DO

NPI #1083110225 in Lebanon, Indiana

Provider Information

NPI Number: 1083110225
Entity Type: Individual
Name: DR. Nicole C. Clark, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Apr 5, 2018
Last Updated: Oct 10, 2023

Practice Location

Address: 2705 N LEBANON ST STE 300
City: Lebanon
State: Indiana
ZIP Code: 46052-8622
Phone: (765) 485-8649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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