Dr. Liana Roxanne Clark
Adolescent Medicine
1 Discovery Dr Bldg 45, Room 208
Swiftwater
, Pennsylvania 18370-9100
Dr. Liana Roxanne Clark
Adolescent Medicine
1 Discovery Dr Bldg 45, Room 208
Swiftwater
, Pennsylvania 18370-9100
(908) 685-7283
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Liana Roxanne Clark
- 1 Discovery Dr Bldg 45, Room 208
- Swiftwater, PA
- Zip : 18370-9100
- Fax : (908) 685-7283
- Phone : (570) 972-3464
Second Address
- Dr. Liana Roxanne Clark
- 1 Discovery Dr Bldg 45, Room 208
- Swiftwater, PA
- Zip : 18370-9100
- Fax : (908) 685-7283
- Phone : (570) 972-3464
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | MD050387L | PA |
National Provider Identifier
| NPI | 1033507371 |
|---|---|
| Provider Name | Dr. Liana Roxanne Clark |
| First Address | Swiftwater, PA 18370-9100 |
| Second Address | Swiftwater, PA 18370-9100 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2015 |
| Last Update Date | 01/05/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.