LISA LYNN CLARK

DOTHAN, AL
NPI1336100130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1054427)
Enumeration Date2006-03-31
Last Update Date2011-07-25
Business Address
-- LISA LYNN CLARK CRNA
4370 W MAIN STREET
DOTHAN, AL 36305
Phone number: 334-793-5000
Mailing Address
-- LISA LYNN CLARK CRNA
PO BOX 6907
DOTHAN, AL 36302
Phone number: 334-793-5000
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