| Lark Chiropractic PC | |
|
125 E Barstow Ave Ste 150 Fresno CA 93710-5023 | |
| (559) 221-6234 | |
| Not Available |
| Full Name | Lark Chiropractic PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 E Barstow Ave Ste 150, Fresno, California |
| Authorized Official Name and Position | Sharon Lark (CEO) |
| Authorized Official Contact | 5599030002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lark Chiropractic PC 125 E Barstow Ave Ste 150 Fresno CA 93710-5023 Ph: (559) 221-6234 | Lark Chiropractic PC 125 E Barstow Ave Ste 150 Fresno CA 93710-5023 Ph: (559) 221-6234 |
| NPI Number | 1831800440 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 12/06/2022 |
| Certification Date | 12/01/2022 |
| Medicare PECOS PAC ID | 1658889894 |
|---|---|
| Medicare Enrollment ID | O20250731001295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831800440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Sharon a Lark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073737326 PECOS PAC ID: 0840466447 Enrollment ID: I20120103000636 |
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