Most Relevant Information
Provider Data
| NPI Number: | 1003319435 |
| Provider Name: | BEEBE LYNN CLARK |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/12/2018 |
| Last Updated: | 03/12/2018 |
Provider Practice Location
1811 S JONES BLVD
LAS VEGAS
NV
891461259
Practice Location Phone/Fax
| Phone: | 7022579638 |
| Fax: | 7029741653 |
Provider Mailing Location
1811 S JONES BLVD
LAS VEGAS
NV
891461259
Provider Mailing Phone/Fax
| Phone: | 7022579638 |
| Fax: | 7029741653 |