LISA CLARK

NEW ALBANY, MS
NPI1114317054
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R874900)
Enumeration Date2015-01-30
Last Update Date2015-01-30
Business Address
-- LISA CLARK
400 DOCTORS DR
NEW ALBANY, MS 38652-3109
Phone number: 662-534-5036
Mailing Address
-- LISA CLARK
400 DOCTORS DR
NEW ALBANY, MS 38652-3109
Phone number: 662-534-5036
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