OrganizationActive
Clark Integrated Medical Clinics LLC
NPI 1124529284 · General Practice Physician · Lafayette, LA
Provider details
- NPI number
- 1124529284
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jacob Clark, Owner
Practice location
401 E Verot School Rd
Lafayette, LA 70508-3315
Phone: (337) 232-3353
Fax: (337) 232-9304
Mailing address
401 E Verot School Rd
Lafayette, LA 70508-3315
Registry dates
- Enumerated
- 2018-02-23
- Last updated
- 2025-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.