Clifford Jack LSAA

  • NPI 1679078851
According to our database, the NPI number for Clifford Jack LSAA is 1679078851 and activated since 6 years ago. Clifford Jack LSAA is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 511 E 20th St, Farmington, NM 87401. You can also contact Clifford Jack LSAA via telephone number is (505) 564-3733. Provider NPI information was last updated on 03/28/2018.

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Overview of Clifford Jack LSAA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/28/2018
  • Last updated: 03/28/2018

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 0192461
  • License State: NM

Provider Mailing Address

  • Address: 511 E 20th St
    Farmington, NM 87401
  • Phone: 505-564-3733
  • Fax:

Provider Practice Location

  • Address: 511 E 20th St
    Farmington, NM 87401
  • Phone: 505-564-3733
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 0192461
  • License State: NM
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Clifford Jack LSAA?
  • A: The npi number for Clifford Jack LSAA is 1679078851.
  • Q: What are Clifford Jack LSAA's specialties?
  • A: Clifford Jack LSAA's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Clifford Jack LSAA?
  • A: The medical license number for Clifford Jack LSAA is 0192461 and issued in NM in USA.
  • Q: Where is Clifford Jack LSAA practice location?
  • A: Clifford Jack LSAA is practicing at 511 E 20th St, Farmington, NM 87401.
  • Q: How to contact Clifford Jack LSAA?
  • A: You can contact Clifford Jack LSAA via 505-564-3733.
Medicare Specialty
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Addiction Medicine
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