Individual provider · Type 1 NPI

Lisa Ann Clark

Case Management Registered Nurse · Ann Arbor, MI

NPI number 1922723634 Active

Practice location

2215 Fuller Rd
Ann Arbor, MI 48105-2303

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X4704918286 (MI)

Case Management Registered Nurse: Definition to come...

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About NPI 1922723634

Lisa Ann Clark's National Provider Identifier is 1922723634, issued on Oct 5, 2022. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Ann Arbor, MI. The record was last updated on Oct 5, 2022.