MS. LA KEISHA LY-NEA CLARK MA NPI 1558703900

NPI Information

MS. La Keisha Ly-nea Clark, MA is a student in an organized health care education training program in Toledo, OH. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MS. La Keisha Ly-nea Clark, MA NPI is 1558703900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

512 WOODSDALE AVE
TOLEDO, OH
ZIP 43609-960
Phone: (419) 381-1419

The enumeration date for this NPI number is 7/26/2013 and was last updated on 7/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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