Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEA L CLARK
ActiveLEA L CLARK is a Family Nurse Practitioner healthcare provider located in YATES CITY, Illinois. NPI 1255910386 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · YATES CITY, IL
Registration Details
- NPI Number
- 1255910386
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 6, 2021 (5.390236619368 yrs)
- Last Updated
- Sep 30, 2021
- Licenses
-
209021458 (IL)209021458 (IL)
Practice Information
- Address
-
717 KNOX COUNTY HIGHWAY 18YATES CITY, IL, 61572Browse IL providers · Browse ZIP 61572
- Phone
- 3092642457
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
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.