LORETTA A CLARK LMP
NPI 1720377278
Preferred Provider Organization in Spokane, WA

Active since April 05, 2011
216 W PACIFIC AVE, SUITE 205, SPOKANE, WA 99201(509) 413-7070 Get Directions Write a Review

NPPES record last updated: November 10, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Loretta A Clark Lmp NPPES

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

LORETTA A CLARK LMP (NPI 1720377278) is an individual preferred provider organization provider in Spokane, Washington, licensed in Washington (MA60097219) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1720377278
Entity TypeIndividualFemale
Primary Taxonomy305R00000X
Provider Legal NameLORETTA A CLARKCredential: LMP
Location Address216 W PACIFIC AVE, SUITE 205Spokane, WA 99201-3661
Mailing Address539 E Heroy AveSpokane, WA 99207-1535 · (509) 413-7070 · Fax (509) 489-4674
Sole ProprietorYes
Enumeration DateApril 5, 2011
Last NPPES UpdateNovember 10, 2014
NPI 1720377278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License Licensed in WA · MA60097219
Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

216 W PACIFIC AVE, Spokane, WA 99201

Other Providers at the Same Location NPPES

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

Massage Therapist
216 W PACIFIC AVE, SUITE 205
SPOKANE, WA 99201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720377278, enumerated as an "individual" on April 05, 2011.

The provider is located at 216 W PACIFIC AVE SUITE 205 SPOKANE, WA 99201 and the phone number is (509) 413-7070.

Preferred Provider Organization with taxonomy code 305R00000X.