Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lionel Herbert Clack

Individual provider Registered Nurse · NPI 1366089377

Lionel Herbert Clack is a Registered Nurse in Covina, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

1161 E Covina Blvd
Covina, CA 91724-1523
Phone: (626) 859-5275
Fax: (626) 608-2645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 724717 (CA)

Record details

NPI number1366089377
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2019
Last updated in NPPESDecember 9, 2019
Certification dateDecember 9, 2019
Mailing address14094 Maricopa Rd, Victorville, CA 92392-9777

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