Lisa Clark
NPI #1114317054 in New Albany, Mississippi
Provider Information
- NPI Number
- 1114317054
- Entity Type
- Individual
- Name
- Lisa Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 30, 2015
- Last Updated
- Jan 30, 2015
Practice Location
- Address
- 400 DOCTORS DR
- City
- New Albany
- State
- Mississippi
- ZIP Code
- 38652-3109
- Phone
- (662) 534-5036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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