Individual provider · Type 1 NPI
Lisa A. Clarke, CRNP
Obstetrics & Gynecology Nurse Practitioner · La Mesa, CA
NPI number
1629088372
Active
Practice location
5525 Grossmont Center Dr
La Mesa, CA 91942-3009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN375180 (CA) |
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | RN375180 (CA) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1629088372
Lisa A. Clarke, CRNP's National Provider Identifier is 1629088372, issued on Aug 8, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in La Mesa, CA. The record was last updated on Sep 11, 2025.