Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CAROL LACESHIA CLARK, LPN
Active Sole ProprietorMRS. CAROL LACESHIA CLARK, LPN is a Licensed Practical Nurse healthcare provider located in JACKSON, South Carolina. NPI 1487432449 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · JACKSON, SC
Registration Details
- NPI Number
- 1487432449
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2023 (2.8849214246026 yrs)
- Last Updated
- Sep 20, 2023
- License
-
46401 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
139 PAULINE STJACKSON, SC, 298313136Browse SC providers · Browse ZIP 29831
- Phone
- 8034506770
- 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.