Paven Clark

NPI #1255296521 in Lake Ozark, Missouri

Provider Information

NPI Number: 1255296521
Entity Type: Individual
Name: Paven Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 18, 2025
Last Updated: Dec 18, 2025

Practice Location

Address: 31 BLUFF RIDGE DR UNIT 1B
City: Lake Ozark
State: Missouri
ZIP Code: 65049-6343
Phone: (618) 663-1028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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MRS. Deborah Iborg, ATC	Student in an Organized Health Care Education/Training Program	Saint Louis	AI Deep Dive
DR. Alexandra Sandoval Laya, M.D.	Student in an Organized Health Care Education/Training Program	Kansas City	AI Deep Dive
Tariq S. Al-Musawi	Student in an Organized Health Care Education/Training Program	Kansas City	AI Deep Dive
DR. Daniel Christian Lingamfelter, D.O.	Student in an Organized Health Care Education/Training Program	Kansas City	AI Deep Dive

Organizations

Provider Name	Specialty	City
School of the Osage R-Ii	Student in an Organized Health Care Education/Training Program	Lake Ozark	AI Deep Dive

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