Lowell F. Clark MD PA

NPI #1629278882 in Bushnell, Florida

Provider Information

NPI Number: 1629278882
Entity Type: Organization
Organization Name: Lowell F. Clark MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Jul 24, 2007
Last Updated: Dec 21, 2007

Practice Location

Address: 212 S FLORIDA ST
City: Bushnell
State: Florida
ZIP Code: 33513-6703
Phone: (352) 787-1600

Authorized Official

Name: DR. ELIZABETH E FOLK, ED.D.
Title: PRESIDENT
Phone: (352) 787-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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