LANYN CLARK

SAINT LOUIS, MO
NPI1992167522
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MO  2015014622)
Enumeration Date2016-03-23
Last Update Date2016-03-23
Business Address
-- LANYN CLARK
40 LADUE TER
SAINT LOUIS, MO 63124-2048
Phone number: 314-954-9958
Mailing Address
-- LANYN CLARK
40 LADUE TER
SAINT LOUIS, MO 63124-2048
Phone number: 314-954-9958