Lisa Lynn Clark is a Dothan, Alabama based nurse anesthetist with 31 years of experience as Anesthesia Administration. She completed she graduation in 1994. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa Lynn Clark is 1054427 for Anesthesia Administration in Alabama. Her current practice location is 4370 W Main Street, Dothan. Patients can reach her at 334-793-5000 or can fax her at 334-615-8428. Lisa Lynn Clark is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1336100130. Lisa Lynn Clark is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Lisa Lynn Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
31+ years
Medical School Attended:
Other
Graduation Year:
1994
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
4370 W Main Street, Dothan, Alabama, 36305
Phone:
334-793-5000
Fax:
334-615-8428
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6608853833
Enrollment ID:
I20040706000575
NPI Number:
1336100130
NPI Enumeration Date:
31 Mar, 2006
NPI Last Update On:
25 Jul, 2011
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Lynn Clark are as mentioned below.
License Number
Specialization
State
Status
1054427
Anesthesia Administration
Alabama
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Lisa Lynn Clark has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Gut Pc (3375589799)
37
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa Lynn Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
51515740
Other
Alabama
BLUE CROSS BLUE SHIELD
301239500
Medicaid
Florida
P00078968
Other
RR MEDICARE
000652451B
Medicaid
Georgia
051515740
Medicaid
Alabama
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 6907, Dothan, Alabama
Zip:
36302
Phone Number:
334-793-5000
Fax Number:
334-615-8428
Patients can reach Lisa Lynn Clark at 4370 W Main Street, Dothan, Alabama or can call to book an appointment on 334-793-5000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.