Laura Caitlin Clark

NPI #1114631728 in Park Ridge, Illinois

Provider Information

NPI Number: 1114631728
Entity Type: Individual
Name: Laura Caitlin Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 9, 2023
Last Updated: Jan 26, 2023

Practice Location

Address: 417 N NORTHWEST HWY APT 2F
City: Park Ridge
State: Illinois
ZIP Code: 60068-3258
Phone: (337) 207-4301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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