MRS. Lisamarie Helen Clark, OD

NPI #1457620957 in Fort Worth, Texas

Provider Information

NPI Number: 1457620957
Entity Type: Individual
Name: MRS. Lisamarie Helen Clark, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 29, 2011
Last Updated: Dec 29, 2011

Practice Location

Address: 7201 BOAT CLUB RD
City: Fort Worth
State: Texas
ZIP Code: 76179-4555
Phone: (817) 750-2233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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