NPI | 1679758387 |
---|---|
Doing Business As | LEWIS & CLARK FAMILY HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | DALE CHAPMAN President 618-468-4440 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2008-01-02 |
Last Update Date | 2016-02-17 |