NPI 1124529284

Clark Integrated Medical Clinics LLC

Organisation General Practice Physician Lafayette, LA

Practice location

Address: 401 E Verot School Rd, Lafayette, LA 70508-3315
Phone: (337) 232-3353
Fax: (337) 232-9304

Authorised official

Name: Jacob Scott Clark
Title: Owner
Phone: (337) 232-3353

Registered specialties (4)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Chiropractor

Chiropractic Providers Taxonomy 111N00000X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1124529284
Entity type: Organization
NPI issued: 23 Feb 2018
Record last updated: 25 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.