NPI 1013194000
Lauretta E Clark
Practice location
- Address
- 4068 E Pecos Rd, Gilbert, AZ 85295-2529
- Phone
- (480) 279-7321
- Fax
- (480) 279-7305
Registered specialties
School Counselor
Primary
Registry record
- NPI
- 1013194000
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jan 2008
- Record last updated
- 11 Feb 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.