LYREVA J CLARK

HANNIBAL, MO
NPI1548246747
Former NameLYREVA J NOLLETTE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2003005715)
Enumeration Date2005-12-20
Last Update Date2022-09-28
Business Address
LYREVA J CLARK RNFNP-C
6500 HOSPITAL DR
HANNIBAL, MO 63401-6890
Phone number: 573-629-3400
Mailing Address
LYREVA J CLARK RNFNP-C
PO BOX 551
HANNIBAL, MO 63401-0551
Phone number: 573-588-4134
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