Lian-Kim Clark
Nurse Practitioner, Family in Miami, FL. Individual provider (NPI-1).
NPI number1982209557
StatusActive
Last updated in NPPESDec 2, 2020
Details
- NPI
- 1982209557
- Entity type
- Individual (NPI-1)
- Name
- Lian-Kim Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2020
- Certification date
- Dec 2, 2020
- Last updated
- Dec 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | f10191208 | FL | Yes |
Practice location
12519 Sw 122nd PathMiami, FL 33186-9045
Phone 305-299-6384
Mailing address
12519 Sw 122nd PathMiami, FL 33186-9045
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