LARA CLARK


Address: 1112 S Cushman Ave, Tacoma, WA 98405-3631
Phone: 2535932144

LARA CLARK (NPI# 1447684832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447684832
Entity Type Individual
Full Name LARA CLARK
Practice Address 1112 S Cushman Ave
Tacoma
WA 98405-3631
Mailing Address Po Box 34703
Seattle
WA 98124-1703
Practice Telephone 2535932144
Practice Fax Number 2532724125
Mailing Telephone 2067643335
Mailing Fax Number 2067640489
Enumeration Date 2013-08-21
Last Update Date 2013-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
AP60376142 WA Physician Assistants & Advanced Practice Nursing Providers

Other Providers LARA CLARK

NPI Name Taxonomy Address Enumeration
1972133395 Lara Clark Counselor 600 6th St Nw Ste 9, Great Falls, MT 59404-2449 2020-01-24
1992767545 Lara Margaret Clark Dentist 2617 S Horner Blvd, Sanford, NC 27332-8032 2006-04-06
1063852887 Lara M Clark Physician Assistant 605 E Badillo St, Covina, CA 91723-2846 2013-06-25

Office Location

Street Address 1112 S CUSHMAN AVE
City TACOMA
State WA
Zip Code 98405-3631

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063410926 Janitzia Schurch Diaz Internal Medicine 1112 S Cushman Ave, Tacoma, WA 98405-3631 2005-07-13
1437759115 Isis Judith Lozano Vazquez Nurse Practitioner 1112 S Cushman Ave, Tacoma, WA 98405-3631 2020-10-30
1700498607 Zachary Michael Mangarin Dental Hygienist 1112 S Cushman Ave, Tacoma, WA 98405-3631 2020-08-21
1679118913 Joselyne Arriola Rangel Dietitian, Registered 1112 S Cushman Ave, Tacoma, WA 98405-3631 2019-11-11
1710535976 Isaura Torres Nurse Practitioner 1112 S Cushman Ave, Tacoma, WA 98405-3631 2019-08-30
1780242610 Veronika Magali Tapia Giron Dietitian, Registered 1112 S Cushman Ave, Tacoma, WA 98405-3631 2019-06-05
1992273783 Heather M Rotter Dietitian, Registered 1112 S Cushman Ave, Tacoma, WA 98405-3631 2018-11-09
1588147524 Sea - Mar Community Health Center Counselor 1112 S Cushman Ave, Tacoma, WA 98405-3631 2018-09-14
1861989071 Monica Varela Rodriguez Dentist 1112 S Cushman Ave, Tacoma, WA 98405 2018-04-13
1679071245 Nicole Gioiosa Dietitian, Registered 1112 S Cushman Ave, Tacoma, WA 98405-3631 2018-01-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1467077891 Richard Jimenez Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 2020-06-11
1669008785 Mariana Sanchez Corona Behavior Technician 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 2020-03-20
1811534845 Jasmine Gregory Social Worker 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 2019-12-10
1548807506 Holly Rebecca Brezynski Student in an Organized Health Care Education/Training Program Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 2019-12-09
1972064392 Logan Brau Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way, Tacoma, WA 98405 2019-03-28
1629532536 Preferred Orthotic and Prosthetic Services Inc Prosthetic/Orthotic Supplier 1708 Yakima Ave Ste 60, Tacoma, WA 98405 2019-01-24
1669945911 Heidi Weakley Counselor 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 2019-01-09
1972074011 Taviance Benet Laster Behavior Technician 1416 S 9th St, Tacoma, WA 98405 2018-12-16
1336618040 Bailey Bangerter Physician Assistant 1901 South Union, A-233, Tacoma, WA 98405 2018-11-26
Find all providers in zip 98405

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942435706 Teresa Michelle Poole Nurse Practitioner 9040a Jackson Ave Madigan Army Medical Center Jblm, Tacoma, WA 98431-6307 2009-05-22
1376757906 Keri Orozco Nurse Practitioner 603 S J St, Tacoma, WA 98405-4159 2007-05-10
1265571871 Margaret Joan Williams Nurse Practitioner Of Pediatrics, Mamc, Tacoma, WA 98431-0001 2007-02-06
1154306504 Eileen T Huhmann Nurse Practitioner 690 A St, Mccord Afb, Tacoma, WA 98438-1303 2005-12-08
1154964815 Alexis Christine Themelis Balser Nurse Practitioner 11601 Pacific Ave S, Tacoma, WA 98444-5425 2019-10-24
1134638976 Denise Quinn Parra Nurse Practitioner 311 S L St, Tacoma, WA 98405-3720 2017-09-25
1376916213 Jennifer Steel Nurse Practitioner 9040 Jackson Ave, Tacoma, WA 98431-3089 2015-10-31
1659773109 Allyson Marie Stoker Nurse Practitioner 311 S L St, Tacoma, WA 98405-3720 2014-09-16
1730517244 Courtney Ann Weyand Nurse Practitioner 311 S L St, Tacoma, WA 98405-3720 2013-10-18
1790119675 Raquel Marisol Bolender Nurse Practitioner 1530 S Union Ave, Tacoma, WA 98405-1954 2013-08-27
Find all providers in TACOMA

Competitor

Search similar providers

City TACOMA
Zip Code 98405

Improve Information

Please comment or provide details below to improve the information on LARA CLARK.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches