Lorna Clarke
Individual provider Active NPI Contractor · Haslett, MI
NPI 1134501547 · NPPES record last updated Jun 22, 2015
Key facts
- NPI
- 1134501547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 5416 Meridian Rd
Haslett, MI 48840-9724 - Phone
- (517) 580-7325
- NPI assigned
- Jun 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
5416 Meridian Rd
Haslett, MI 48840-9724
Mailing address
5416 Meridian Rd
Haslett, MI 48840-9724
Phone (517) 580-7325
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0170277 | Medicaid | MI |
Other providers in Haslett, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.