Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 2479541 | NY |
NPI | 1003147323 |
---|---|
Provider Name | Dr. Lindsey Dolan Clark |
First Address | Hamburg, NY 14075-7807 |
Second Address | Orchard Park, NY 14127-2291 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2010 |
Last Update Date | 05/08/2015 |