NPI 1245792332

Larin Timothy Clark, IDMTLPN

Practitioner Independent Duty Medical Technicians Barksdale Afb, LA

Practice location

Address: 243 Curtiss Rd STE 100, Barksdale Afb, LA 71110-2425
Phone: (318) 456-6555

Registered specialties (2)

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Licensed Practical Nurse

Nursing Service Providers Taxonomy 164W00000X Licence 0002105974 (LA)

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Registry record

NPI: 1245792332
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2019
Record last updated: 7 Nov 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.