LANYN CLARK


Address: 40 Ladue Ter, Saint Louis, MO 63124-2048
Phone: 3149549958

LANYN CLARK (NPI# 1992167522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992167522
Entity Type Individual
Full Name LANYN CLARK
Practice Address 40 Ladue Ter
Saint Louis
MO 63124-2048
Practice Telephone 3149549958
Mailing Telephone 3149549958
Enumeration Date 2016-03-23
Last Update Date 2016-03-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
2015014622 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 40 LADUE TER
City SAINT LOUIS
State MO
Zip Code 63124-2048

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174174775 Nicholas Simpson Nurse Practitioner 8857 Ladue Road, St. Louis, MO 63124 2019-09-25
1144774647 Carolyn Ashley Myles Versical Psychologist 26 Godwin Ln, Saint Louis, MO 63124 2016-08-12
1740669373 Victor's Home Care Cds, LLC Hospice Care, Community Based 8420 Delmar Blvd, Ste 507, St. Louis, MO 63124 2015-05-28
1851784490 Bryan Watanabe Dds Ladue Dental Group, PC Dentist 8859 Ladue Road, Ladue, MO 63124 2015-03-06
1689072324 Ladue Internal Medicine, LLC Internal Medicine 8857 A Ladue Rd., Ladue, MO 63124 2014-12-11
1043557150 Ronald Nathan Riner Internal Medicine 9847 Waterbury Drive, St. Louis, MO 63124 2013-01-09
1295099638 David Stuart Sonderman Pediatrics 8888 Ladue Road, Ste 100, Saint Louis, MO 63124 2012-06-29
1255637799 Kyu S Her Pediatrics 624 Haverford Road, St. Louis, MO 63124 2011-02-01
1194983833 Roberte Kuhlman Orthopaedic Surgery 12 Upper Barnes, St Louis, MO 63124 2008-05-29
1467507673 Mark William Aylward Dentist 9216 Clayton Road, Suite 118, St Louis, MO 63124 2007-01-25
Find all providers in zip 63124

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023619285 Jennifer Lee Speiser Nurse Practitioner 12545 Olive Blvd, Saint Louis, MO 63141-6311 2020-11-04
1265045264 Andrea Jane Montgomery Nurse Practitioner 444 Honeysuckle Ln, Saint Louis, MO 63119-4521 2020-08-28
1396362224 Erin M Kehoe Nurse Practitioner 12973 Olive Blvd, Saint Louis, MO 63141-6149 2020-06-26
1508482506 Matthew Dale Tieskoetter Nurse Practitioner 333 S Kirkwood Rd Ste 203, Saint Louis, MO 63122-6161 2020-06-25
1861033615 Benedicta Esi Nurse Practitioner 6024 Pennsylvania Ave, Saint Louis, MO 63111-2555 2019-10-02
1245896893 Katina D Smith Nurse Practitioner 8820 Mcnulty Dr, Saint Louis, MO 63114-4146 2019-05-18
1912413584 Lucija Kozul Sadl Nurse Practitioner 3525 Forest Dale Dr, Saint Louis, MO 63125-4212 2017-12-19
1275071326 Kathryn Ries Nurse Practitioner 3535 South Broadway, Suite 118, Saint Louis, MO 63118-3907 2017-02-09
1144775966 Hienok Hailu Nurse Practitioner 11725 Casa Grande Dr, Saint Louis, MO 63146-4223 2016-08-22
1639565823 Laura C. Fleetwood Nurse Practitioner 625 S New Ballas Rd Ste R-7040, Saint Louis, MO 63141-8253 2015-04-14
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63124

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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