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Lowell F Clark MD PA

Organization Active NPI Internal Medicine Physician · Oxford, FL

NPI 1306590294 · NPPES record last updated Feb 9, 2022

Key facts

NPI
1306590294
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
LOWELL F CLARK MD PA
Practice address
10840 N US Highway 301
Oxford, FL 34484-3558
Phone
(352) 787-1600
NPI assigned
Feb 9, 2022
Organization subpart
No

Authorized official

Name
Lowell F. Clark
Title
Medical Director
Phone
(352) 793-2441

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2326005Lowell F Clark MD PA
10840 N US 301, Ste a, Oxford, FL 34484		Certificate of waiverJun 24, 2027

National Provider Directory

Tax ID family
Lowell F Clark MD PA (7 organizations share this tax ID)

Locations

10840 N US Highway 301
Oxford, FL 34484
Phone (239) 332-3480

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207R00000X Yes

Addresses

Primary practice location

10840 N US Highway 301
Oxford, FL 34484-3558

Mailing address

212 S Fla St
Bushnell, FL 33513-6703
Phone (352) 793-2441

Other providers in Oxford, FL

All providers in Oxford, FL · Internal Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.