Clark Chiropractic, L.l.c.

NPI #1588799563 in Lafayette, Louisiana

Provider Information

NPI Number: 1588799563
Entity Type: Organization
Organization Name: Clark Chiropractic, L.l.c.
Primary Specialty: Chiropractor
Enumeration Date: Feb 22, 2007
Last Updated: May 2, 2008

Practice Location

Address: 854 KALISTE SALOOM RD STE C
City: Lafayette
State: Louisiana
ZIP Code: 70508-4367
Phone: (337) 232-3353

Authorized Official

Name: DR. JACOB SCOTT CLARK, D.C.
Title: OWNER
Phone: (337) 232-3353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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