Individual provider · Type 1 NPI

Lisa M. Clark, CPNP-AC

Pediatric Nurse Practitioner · Stony Brook, NY

NPI number 1710146220 Active

Practice location

University Hosp Medical Center Stony Brk, Dept Pediatrics Hsc 11th Floor
Stony Brook, NY 11794-0001

Call (631) 444-2967 Map

Fax (631) 444-6212

Mailing address

University Hosp Medical Center Stony Brook, Dept Pediatrics Hsc 11th Floor
Stony Brook, NY 11794-8111

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X380567 (NY)

Pediatric Nurse Practitioner: Definition to come...

Other pediatric nurse practitioner providers in Stony Brook

See all in Stony Brook →

About NPI 1710146220

Lisa M. Clark, CPNP-AC's National Provider Identifier is 1710146220, issued on Jun 9, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Stony Brook, NY. The record was last updated on Jun 9, 2008.