MS. Lisa Ann Clark, LMT
NPI #1073857801 in Binghamton, New York
Provider Information
- NPI Number
- 1073857801
- Entity Type
- Individual
- Name
- MS. Lisa Ann Clark, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMT
- Enumeration Date
- Nov 16, 2012
- Last Updated
- Nov 16, 2012
Practice Location
- Address
- 1110 CHENANGO ST
- City
- Binghamton
- State
- New York
- ZIP Code
- 13901-1668
- Phone
- (607) 221-5041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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