Lyrica Noelle Clark
Technician, Other in Round Rock, TX. Individual provider (NPI-1).
NPI number1962919548
StatusActive
Last updated in NPPESJan 4, 2018
Details
- NPI
- 1962919548
- Entity type
- Individual (NPI-1)
- Name
- Lyrica Noelle Clark
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2018
- Last updated
- Jan 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
2237 Buena Vista LnRound Rock, TX 78665-5624
Phone 855-832-6727
Mailing address
4575 Se Dixie HwyStuart, FL 34997-6826
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Other Technician, Other providers in Round Rock, TX
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