NPI
Carol Laceshia Clark
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- LPN
- Type
- Individual
- Enumeration date
- 2023-09-20
- Last updated
- 2023-09-20
Specialties
Licenses
- License SC
- 46401
Location
- Practice location
- 139 Pauline St
- City
- Jackson SC
- Postal code
- 29831-3136
- Phone
- (803) 450-6770
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Jackson, SC. 8 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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