LISA M CLARK

STONY BROOK, NY
NPI1710146220
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY  380567)
Enumeration Date2008-06-09
Last Update Date2008-06-09
Business Address
-- LISA M CLARK CPNP-AC
UNIVERSITY HOSP MEDICAL CENTER STONY BRK DEPT PEDIATRICS HSC 11TH FLOOR
STONY BROOK, NY 11794-0001
Phone number: 631-444-2967
Mailing Address
-- LISA M CLARK CPNP-AC
UNIVERSITY HOSP MEDICAL CENTER STONY BROOK DEPT PEDIATRICS HSC 11TH FLOOR
STONY BROOK, NY 11794-8111
Phone number: 631-444-2967
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