Dr. Nicole C. Clark, DO
Dr. Nicole C. Clark, DO is a Family Practice in Lebanon, Indiana. Qualified in 2018, 8 years ago. Practices with Witham Memorial Hospital, a 103-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.
- Years since qualifying
- 8
- Licensed in
- IN
- In the registry since
- 2018
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
2705 N Lebanon St Ste 300Lebanon, IN 46052-8622
Phone: (765) 485-8649
Fax: (765) 485-8650
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 02006481A (IN) |
|---|
Record details
| NPI number | 1083110225 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | April 5, 2018 |
| Last updated in NPPES | October 10, 2023 |
| Certification date | October 10, 2023 |
| Mailing address | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Witham Memorial Hospital — 103 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Other providers in Lebanon
-
Alchemy Health LLC
806 Foxglove Ct, Lebanon, IN 46052-1489 · (317) 798-0633
-
James Anthony Boudreau, MD
2705 N Lebanon St Ste 300, Lebanon, IN 46052-8622 · (765) 485-8649
-
Patrick Doolan, MD
504 W Camp St, Lebanon, IN 46052-1647 · (765) 482-7005
-
Edward Langston, MD
504 W Camp St, Lebanon, IN 46052-1647 · (765) 482-7005
-
Emma Joy Nordstrom, MD
2705 N Lebanon St Ste 300, Lebanon, IN 46052-8622 · (765) 485-8649
-
Ben H Park, MD
1310 S Lebanon St, Lebanon, IN 46052-2792 · (765) 482-7005