Lisa Bardy Clark, M.D.

NPI #1598779100 in Destin, Florida

Provider Information

NPI Number
1598779100
Entity Type
Individual
Name
Lisa Bardy Clark, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Jul 28, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
12815 HIGHWAY 98 WEST
Address 2
SUITE 116
City
Destin
State
Florida
ZIP Code
32550
Phone
(850) 269-0111

Specialties & Taxonomy Codes

Specialty
Family Medicine

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