Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LORETTA A CLARK, LMP
Active Sole ProprietorLORETTA A CLARK, LMP is a Preferred Provider Organization healthcare provider located in SPOKANE, Washington. NPI 1720377278 is currently active in the NPPES registry. Verify at CMS.
Preferred Provider Organization · SPOKANE, WA
Registration Details
- NPI Number
- 1720377278
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2011 (15.38231841261 yrs)
- Last Updated
- Nov 10, 2014
- License
-
MA60097219 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
216 W PACIFIC AVESUITE 205SPOKANE, WA, 992013661Browse WA providers · Browse ZIP 99201
- Phone
- 5094137070
- Primary Specialty
-
Preferred Provider Organization
305R00000X
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.