LAWRENCE E CLARK MD INC
Medical Practice at 14 St, Riverside, CA

License number
California G435560
Category
Medical Practice
Type
Specialist
Owner
Name: MRS. VALERIE L. PAYNE CMPE
Title: MANAGER
Phone: (951) 682-3583
Address
Address
4000 14Th St STE 302, Riverside, CA 92501
National Provider ID: 1639373913
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAWRENCE E. CLARK, M.D., A PROFESSIONAL CORPORATION

Riverside, CA

Industry:
Medical Doctor's Office
Doing business as:
Lawrence E Clark MD Inc<br>Rna
Registration:
Jan 5, 1995
Phone:
(951) 682-3583 (Phone)
Addresses:
4500 Brockton Ave STE 201, Riverside, CA 92501 (Physical)
4000 14 St, Riverside, CA 92501
State ID:
C1925285
Business type:
Articles of Incorporation
Chief Technology Officers:
Lawrence E. Clark (President, Medical Doctor),Valerie L. Payne (Manager),Erik Wahlstrom (Medical Director, President),...
Agent:
Lawrence E Clark,Riverside, CA 92501 (Physical)

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