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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA M CLARK, CPNP-AC

Active

LISA M CLARK, CPNP-AC is a Pediatric Nurse Practitioner healthcare provider located in STONY BROOK, New York. NPI 1710146220 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · STONY BROOK, NY

Registration Details

NPI Number
1710146220
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2008 (18.153426794105 yrs)
Last Updated
Jun 9, 2008
License
380567 (NY)

Practice Information

Address
UNIVERSITY HOSP MEDICAL CENTER STONY BRK
DEPT PEDIATRICS HSC 11TH FLOOR
STONY BROOK, NY, 117940001
Browse NY providers · Browse ZIP 11794
Phone
6314442967
Fax
6314446212
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X

Other Pediatric Nurse Practitioner Providers in STONY BROOK, NY

Name Credential NPI
ANN COURTNEY CPNP 1235128638
MS. KATHLEEN C USMANI CPNP 1427096742
MS. LISA ROMARD PNP. 1174566079
MS. THERESA MARIE VLAHOS N.P. 1184845661
MS. KAMMY MCLOUGHLIN NP 1114119161
MRS. TARA FLOCCO RN, NP 1043485998
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.