Lori Clark M.d., Inc.

NPI #1619908589 in Laguna Hills, California

Provider Information

NPI Number: 1619908589
Entity Type: Organization
Organization Name: Lori Clark M.d., Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Jul 6, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 23521 PASEO DE VALENCIA STE 108
City: Laguna Hills
State: California
ZIP Code: 92653-3137
Phone: (949) 588-7262

Authorized Official

Name: LORI LYNN CLARK, M.D.
Title: PHYSICIAN
Phone: (949) 588-7262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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