LISA L. CLARK

GRAY, GA
NPI1801160353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN089162)
Enumeration Date2012-03-01
Last Update Date2019-07-03
Business Address
Mrs. LISA L. CLARK FNP
1005 BOULDER DR
GRAY, GA 31032
Phone number: 478-621-2100
Mailing Address
Mrs. LISA L. CLARK FNP
1005 BOULDER DR
GRAY, GA 31032-6141
Phone number: 478-621-2100
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