MR. MICHAEL DWAYNE CLARK
NPI 1063683597
Driver in Lake Charles, LA

Q: What is Michael Clark's NPI number?

The NPI number for Michael Clark is 1063683597. It was assigned to this individual provider in the NPPES registry on March 12, 2008.

Q: What is Michael Clark's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 12, 2008

619 CLARENCE ST APT 5, LAKE CHARLES, LA 70601(337) 721-8070(337) 721-8060 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Michael Dwayne Clark NPPES

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

MR. MICHAEL DWAYNE CLARK (NPI 1063683597) is an individual driver provider in Lake Charles, Louisiana and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1063683597

Entity TypeIndividualMale

Primary Taxonomy172A00000X

Provider Legal NameMR. MICHAEL DWAYNE CLARK

Location Address619 CLARENCE ST APT 5Lake Charles, LA 70601-5370

Mailing Address619 Clarence St Apt 5Lake Charles, LA 70601-5370 · (337) 721-8070 · Fax (337) 721-8060

Phone(337) 721-8070

Fax(337) 721-8060

Sole ProprietorYes

Enumeration DateMarch 12, 2008

✔ NPI 1063683597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers

Taxonomy Code172A00000X

Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

619 CLARENCE ST APT 5, Lake Charles, LA 70601

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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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1063683597. It was assigned to this individual provider in the NPPES registry on March 12, 2008.

Where is Michael Clark located?

Michael Clark practices at 619 Clarence St Apt 5, Lake Charles, LA 70601. The listed phone number is (337) 721-8070.

What is Michael Clark's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.