Lowell F Clark MD PA
NPI #1093469983 in San Antonio, Florida
Provider Information
- NPI Number
- 1093469983
- Entity Type
- Organization
- Organization Name
- Lowell F Clark MD PA
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 9, 2022
- Last Updated
- Feb 9, 2022
Practice Location
- Address
- 12620 CURLEY ST
- City
- San Antonio
- State
- Florida
- ZIP Code
- 33576-8136
- Phone
- (352) 787-1600
Authorized Official
- Name
- LOWELL F. CLARK
- Title
- MEDICAL DIRECTOR
- Phone
- (352) 793-2441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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