NPI 1003864620

Jacob Scott Clark, DC

Practitioner Chiropractor Lafayette, LA

Practice location

Address: 854c Kaliste Saloom Rd, Lafayette, LA 70508-4210
Phone: (337) 232-3353
Fax: (337) 232-9304

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 1322 (LA)

Other Chiropractor providers in Louisiana →

Registry record

NPI: 1003864620
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2006
Record last updated: 2 May 2008

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.