Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
URSULA LORI CLARK
ActiveURSULA LORI CLARK is a Contractor healthcare provider located in LAKE PARK, Georgia. NPI 1710562129 is currently active in the NPPES registry. Verify at CMS.
Contractor · LAKE PARK, GA
Registration Details
- NPI Number
- 1710562129
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 17, 2021 (5.3863906474038 yrs)
- Last Updated
- Mar 17, 2021
Practice Information
- Address
-
4700 ROLLING PINE DR APT D25LAKE PARK, GA, 316364935Browse GA providers · Browse ZIP 31636
- Phone
- 3058776401
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in LAKE PARK, GA
| Name | Credential | NPI |
|---|---|---|
| HEATHER LEIGH FREDERICK | MA | 1881175578 |
| MRS. DEBORAH ANN WOODWARD | — | 1831671767 |
| SHEILA MICHELE NOBLES | — | 1982249942 |
| TYRONE WEDELL ROBINSON | — | 1710512249 |
| BRITTANY FITZGERALD | — | 1609592823 |
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.