Dr. Lyle Arthur Clark, M.D.
Psychiatry & Neurology, Psychiatry in Hannibal, MO. Individual provider (NPI-1).
NPI number1477572097
StatusActive
Last updated in NPPESJun 4, 2014
Details
- NPI
- 1477572097
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lyle Arthur Clark
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2006
- Last updated
- Jun 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | R8E55 | MO | Yes |
Practice location
141 Communication DriveHannibal, MO 63401
Phone 573-795-7342 · Fax 573-248-3080
Mailing address
900 E La Harpe StKirksville, MO 63501-4520
Phone 660-665-1962 · Fax 660-665-3989
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