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LAVONNE D CLARK DC
NPI 1053402883
Chiropractor in Phoenix, AZ

Active since September 27, 2006
2826 W NORTHERN AVE, PHOENIX, AZ 85051(602) 995-3755(602) 995-3759 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lavonne D Clark Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAVONNE D CLARK DC (NPI 1053402883) is an individual chiropractor in Phoenix, Arizona, licensed in Arizona (7651) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1053402883
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameLAVONNE D CLARKCredential: DC
Location Address2826 W NORTHERN AVEPhoenix, AZ 85051-6626
Mailing Address36247 N 17th AvePhoenix, AZ 85086-6314 · (623) 580-8341
Phone(602) 995-3755
Fax(602) 995-3759
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1053402883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 7651
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2826 W NORTHERN AVE, Phoenix, AZ 85051
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Other Identifiers 2

Medicare ID-Type Unspecified107864AZ · Noridian
Medicare UPINU66842AZ

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLENDALE SPRINGS CHIROPRACTIC AND REHAB, LLC
Chiropractor
2826 W NORTHERN AVE
PHOENIX, AZ 85051
Maricopa County (602) 841-0200
DR. NICOLETA BORCEAN D.C.
Chiropractor
2826 W NORTHERN AVE
PHOENIX, AZ 85051
Maricopa County (602) 841-0200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lavonne Clark's NPI number?

The NPI number for Lavonne Clark is 1053402883. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Lavonne Clark located?

Lavonne Clark practices at 2826 W Northern Ave, Phoenix, AZ 85051. The listed phone number is (602) 995-3755.

What is Lavonne Clark's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Lavonne Clark was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.