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

MRS. LAVINA KAY CLARK

Active Sole Proprietor

MRS. LAVINA KAY CLARK is a Substance Abuse Rehabilitation Facility healthcare provider located in PAWHUSKA, Oklahoma. NPI 1417297680 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Rehabilitation Facility · PAWHUSKA, OK

Registration Details

NPI Number
1417297680
Provider Type
Individual
Gender
Female
NPI Issued
Feb 25, 2013 (13.499431743041 yrs)
Last Updated
Feb 25, 2013
Sole Proprietor
Yes

Practice Information

Address
126 E 6TH ST
PAWHUSKA, OK, 740564204
Browse OK providers · Browse ZIP 74056
Phone
9182875425
Fax
9182871096
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Providers in PAWHUSKA, OK

Name Credential NPI
MR. SAMMY CLARENCE LOOKOUT 1932457843
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.