IndividualActive
Latisa Clark, LPN
NPI 1295225431 · Licensed Practical Nurse · Milford, DE
Provider details
- NPI number
- 1295225431
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- L2-0012231 (DE)
Specialties & taxonomies
Nursing Service Providers
Practice location
769 E Masten Cir Ste 113
Milford, DE 19963-1268
Phone: (302) 856-4700
Approximate (ZIP-level) locationGet directions
Mailing address
769 E Masten Cir Ste 113
Milford, DE 19963-1268
Registry dates
- Enumerated
- 2018-05-14
- Last updated
- 2018-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.