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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LARIN TIMOTHY CLARK, IDMT, LPN

Active

MR. LARIN TIMOTHY CLARK, IDMT, LPN is a Independent Duty Medical Technician healthcare provider located in BARKSDALE AFB, Louisiana. NPI 1245792332 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Medical Technician · BARKSDALE AFB, LA

Registration Details

NPI Number
1245792332
Provider Type
Individual
Gender
Male
NPI Issued
Apr 5, 2019 (7.3638307866948 yrs)
Last Updated
Nov 7, 2025
License
0002105974 (LA)

Practice Information

Address
243 CURTISS RD STE 100
BARKSDALE AFB, LA, 711102425
Browse LA providers · Browse ZIP 71110
Phone
3184566555
Primary Specialty
Independent Duty Medical Technician
1710I1003X
Additional Specialty
Licensed Practical Nurse

Other Independent Duty Medical Technician Providers in BARKSDALE AFB, LA

Name Credential NPI
MR. JODY LEE OHMER IDMT 1598909970
CHARLES WAYNE SHEFFIELD IDMT 1194969550
MRS. RACHONN SHALETTE WILLIAMSON IDMT 1346484805
BRIAN W SIGNAL 1730313602
MRS. ATHENA LEE CASTILLEJA EZERNACK IDMT 1790014660
MRS. HEATHER MARIE PHINNEY IDMT 1770910788
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.