LARA CLARK

TACOMA, WA
NPI1447684832
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: WA  AP60376142)
Enumeration Date2013-08-21
Last Update Date2013-08-21
Business Address
-- LARA CLARK
1112 S CUSHMAN AVE
TACOMA, WA 98405-3631
Phone number: 253-593-2144
Mailing Address
-- LARA CLARK
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-3335
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