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

Veronica Lake Clark, MOTR/L, CLT

Individual provider Specialist · NPI 1720872146

Veronica Lake Clark, MOTR/L, CLT is an Occupational Therapist in Private Practice in Boone, North Carolina. Qualified in 2024, 2 years ago. Practices with Healthy Lymphatics of Nc PC, an 8-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2025
Specialties on file
2

Practice location Address checks out

450 New Market Blvd Ste 3
Boone, NC 28607-5501
Phone: (828) 355-9584
Fax: (828) 355-9689
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 17100 (NC)
Specialist Taxonomy 174400000X

Record details

NPI number1720872146
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOTR/L , CLT
Sole proprietorNo
NPI enumeratedApril 9, 2025
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Healthy Lymphatics Of Nc Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Boone