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1225430879
CLARK LACHCIK
MELBOURNE, FL
NPI
1225430879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL pa9108265)
Enumeration Date
2014-09-25
Last Update Date
2016-11-18
Business Address
-- CLARK LACHCIK PA-C
1775 W HIBISCUS BLVD SUITE 215
MELBOURNE, FL 32901-2620
Phone number: 321-837-3820
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Mailing Address
-- CLARK LACHCIK PA-C
1470 PARADISE CT
MERRITT ISLAND, FL 32952-5560
Phone number: 321-446-0689
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