Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA BARDY CLARK, M.D.
Active Sole ProprietorLISA BARDY CLARK, M.D. is a Family Medicine healthcare provider located in DESTIN, Florida. NPI 1598779100 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · DESTIN, FL
Registration Details
- NPI Number
- 1598779100
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2006 (20.005745138227 yrs)
- Last Updated
- Jul 8, 2007
- License
-
ME73997 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12815 HIGHWAY 98 WESTSUITE 116DESTIN, FL, 32550Browse FL providers · Browse ZIP 32550
- Phone
- 8502690111
- Fax
- 8502690114
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in DESTIN, FL
| Name | Credential | NPI |
|---|---|---|
| MR. HARRY YEATES | MD | 1578561973 |
| MR. ANTHONY V LANASA | MD | 1447245105 |
| DR. JOHN LUTHER LENTZ JR. | M.D. | 1356395693 |
| DAVID L. ZIELINSKI | MD | 1407895790 |
| KYLE S CHAVERS | MD | 1902957582 |
| DR. LLOYD DALE GAUVIN | D.O | 1497887079 |
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.