Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATISA CLARK, LPN
ActiveLATISA CLARK, LPN is a Licensed Practical Nurse healthcare provider located in MILFORD, Delaware. NPI 1295225431 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · MILFORD, DE
Registration Details
- NPI Number
- 1295225431
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2018 (8.2116206299538 yrs)
- Last Updated
- May 14, 2018
- License
-
L2-0012231 (DE)
Practice Information
- Address
-
769 E MASTEN CIR STE 113MILFORD, DE, 199631268Browse DE providers · Browse ZIP 19963
- Phone
- 3028564700
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
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.