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Larin Clark, IDMT, LPN — NPI 1245792332, Barksdale Afb, LA | NPI Central

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NPI 1245792332

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Larin Clark, IDMT, LPN

NPI 1245792332 · Independent Duty Medical Technicians · Barksdale Afb, LA

Provider details

NPI number: 1245792332
Entity type: Individual
Primary specialty: Independent Duty Medical TechniciansOther Service Providers
Credential: IDMT, LPN
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Independent Duty Medical TechniciansPrimary1710I1003X
Other Service Providers
Licensed Practical Nurse164W00000XLicense 0002105974 (LA)
Nursing Service Providers

Practice location

243 Curtiss Rd Ste 100

Barksdale Afb, LA 71110-2425

Phone: (318) 456-6555

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

243 Curtiss Rd Ste 100

Barksdale Afb, LA 71110-2425

Additional practice locations (1)

101 Bodin Cir
Travis Afb, CA 94535-1809
Phone: (707) 423-3727

Registry dates

Enumerated: 2019-04-05
Last updated: 2025-11-07
Certified: 2025-11-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.