Ms Lee Lani Clark, is a
Case Manager/care Coordinator based in San Jose, California. Ms Lee Lani Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
2221 Enborg Ln, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 885-6220.
NPI number for Ms Lee Lani Clark is 1790817948 and her current mailing address is 2221 Enborg Ln, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790817948.
Healthcare Provider's Profile
| Full Name | Ms Lee Lani Clark |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 2221 Enborg Ln, San Jose, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790817948
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 07/12/2007
Medical Identifiers
Medical identifiers for Ms Lee Lani Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790817948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Ms Lee Lani Clark 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 |
|---|
Ms Lee Lani Clark,
2221 Enborg Ln,
San Jose, CA 95128-2608
Ph: (408) 885-6220 | Ms Lee Lani Clark,
2221 Enborg Ln,
San Jose, CA 95128-2608
Ph: (408) 885-6220 |
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