Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA CONTRERAS CLARKE, RD, CSSD
Active Sole ProprietorSports Dietetics · BEAUMONT, TX
Registration Details
- NPI Number
- 1497357859
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 11, 2020 (5.4441978647527 yrs)
- Last Updated
- Nov 11, 2020
- License
-
DT85055 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
211 REDBIRD LANEBEAUMONT, TX, 777059801Browse TX providers · Browse ZIP 77705
- Phone
- 4098802359
- Primary Specialty
-
Sports Dietetics
133VN1501X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.