Most Relevant Information
Provider Data
| NPI Number: | 1003661760 |
| Provider Name: | MARY ELIZABETH CLARK LANIER DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/17/2024 |
| Last Updated: | 04/17/2024 |
Provider Practice Location
850 PETER BRYCE BLVD
TUSCALOOSA
AL
354017457
Practice Location Phone/Fax
| Phone: | 2053481770 |
| Fax: |
Provider Mailing Location
850 PETER BRYCE BLVD
TUSCALOOSA
AL
354017457
Provider Mailing Phone/Fax
| Phone: | 2053481770 |
| Fax: |