| NPI | 1174752067 |
|---|---|
| Former Name | LORI A CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.123419) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 35.123419) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2018-09-04 |