SearchNew York363LP0200X

Lisa Clark, CPNP-AC

NPI 1710146220 · on the registry since 2008

Practice

Address
University Hosp Medical Center Stony Brk
Dept Pediatrics Hsc 11th Floor
Stony Brook, NY 11794
Phone
(631) 444-2967
Fax
(631) 444-6212

Registry record

Primary taxonomy
363LP0200X
363LP0200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-06-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York