Amanda Wilder Lark, MPAS, PA-C

NPI #1841478302 in Flower Mound, Texas

Provider Information

NPI Number: 1841478302
Entity Type: Individual
Name: Amanda Wilder Lark, MPAS, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MPAS, PA-C
Enumeration Date: Feb 7, 2008
Last Updated: Oct 3, 2018

Practice Location

Address: 4471 LONG PRAIRIE RD # 100
City: Flower Mound
State: Texas
ZIP Code: 75028
Phone: (972) 362-0956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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