GREGORY CLARK

Driver

Active Individual
NPI: 1760991012

Practice Address

1091 OLD SOUTH DR
Lakeland, FL 33811

Phone: (813) 846-1181

Specialties

Specialty Code Primary License
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1760991012 is the National Provider Identifier for GREGORY CLARK, a Driver provider located in Lakeland, FL. This NPI was enumerated on September 28, 2017.
GREGORY CLARK practices at 1091 OLD SOUTH DR, Lakeland, FL 33811.

Quick Facts

NPI
1760991012
Type
Individual
Enumerated
Sep 28, 2017
Last Updated
Jul 21, 2022

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