Ursula Lori Clark
Ursula Lori Clark is a Contractor in Lake Park, Georgia. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
4700 Rolling Pine Dr Apt D25Lake Park, GA 31636-4935
Phone: (305) 877-6401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1710562129 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 17, 2021 |
| Last updated in NPPES | March 17, 2021 |
| Certification date | March 17, 2021 |
| Mailing address | 4700 Rolling Pine Dr Apt D25, Lake Park, GA 31636-4935 |
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