Mr Edward Dean Lark, is a
Technician based in Long Beach, California. Mr Edward Dean Lark is licensed to practice in * (Not Available) (license number ) and his current practice location is
5901 E 7th St, Mental Health Substance Abuse #006-116a, Long Beach, California. He can be reached at his office (for appointments etc.) via phone at
(562) 826-5610.
NPI number for Mr Edward Dean Lark is 1528150802 and his current mailing address is 5901 E 7th St, Mental Health Substance Abuse #006-116a, Long Beach, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528150802.
Healthcare Provider's Profile
| Full Name | Mr Edward Dean Lark |
|---|
| Gender | Male |
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| Speciality | Technician |
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| Location | 5901 E 7th St, Long Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528150802
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Edward Dean Lark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528150802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 374700000X | Technician | (* (Not Available)) | 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. Mr Edward Dean 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 Address | Practice Location Address |
|---|
Mr Edward Dean Lark,
5901 E 7th St, Mental Health Substance Abuse #006-116a,
Long Beach, CA 90822-5201
Ph: (562) 826-5610 | Mr Edward Dean Lark,
5901 E 7th St, Mental Health Substance Abuse #006-116a,
Long Beach, CA 90822-5201
Ph: (562) 826-5610 |
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