Dr Russell Ellis Lark, PHD - Psychologist in West Des Moines, IA

Dr Russell Ellis Lark, PHD is a Psychologist - Counseling based in West Des Moines, Iowa. Dr Russell Ellis Lark is licensed to practice in Iowa (license number 001057) and his current practice location is 1200 Valley West Dr, Suite 707, West Des Moines, Iowa. He can be reached at his office (for appointments etc.) via phone at (515) 222-1999.

NPI number for Dr Russell Ellis Lark is 1083872642 and his current mailing address is 1200 Valley West Dr, Suite 707, West Des Moines, Iowa. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083872642.

Contact Information

Dr Russell Ellis Lark, PHD
1200 Valley West Dr, Suite 707,
West Des Moines, IA 50266-1908
(515) 222-1999
(515) 224-3949

Map and Direction




Healthcare Provider's Profile

Full NameDr Russell Ellis Lark
GenderMale
SpecialityPsychologist - Counseling
Location1200 Valley West Dr, West Des Moines, Iowa
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083872642
  • Provider Enumeration Date: 05/29/2008
  • Last Update Date: 05/29/2008

Medical Identifiers

Medical identifiers for Dr Russell Ellis Lark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083872642NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling 001057 (Iowa)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Russell Ellis Lark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Russell Ellis Lark, PHD
1200 Valley West Dr, Suite 707,
West Des Moines, IA 50266-1908

Ph: () -
Dr Russell Ellis Lark, PHD
1200 Valley West Dr, Suite 707,
West Des Moines, IA 50266-1908

Ph: (515) 222-1999

Reviews and Comments


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