DR. Charles Lamotte Clark, OD

NPI #1760555189 in Lumberton, North Carolina

Provider Information

NPI Number: 1760555189
Entity Type: Individual
Name: DR. Charles Lamotte Clark, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Nov 15, 2006
Last Updated: Nov 2, 2012

Practice Location

Address: 4811 FAYETTEVILLE ROAD
City: Lumberton
State: North Carolina
ZIP Code: 28358
Phone: (910) 739-3323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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