Lisa M Clark
CPNP-AC | Nurse Practitioner - Pediatrics
University Hosp Medical Center Stony Brk, Dept Pediatrics Hsc 11th Floor, Stony Brook
New York, 11794-0001
631-444-2967
Lisa M Clark is a Stony Brook, New York based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Lisa M Clark is 380567 for Pediatrics in New York. Her current practice location is University Hosp Medical Center Stony Brk, Dept Pediatrics Hsc 11th Floor, Stony Brook. Patients can reach her at 631-444-2967 or can fax her at 631-444-6212. Lisa M Clark is CPNP-AC with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1710146220.
Lisa M Clark specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Lisa M Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Lisa M Clark |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | CPNP-AC |
| Practice Address: | University Hosp Medical Center Stony Brk, Dept Pediatrics Hsc 11th Floor, Stony Brook,
New York, 11794-0001 |
| Phone: | 631-444-2967 |
| Fax: | 631-444-6212 |
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.
| NPI Number: | 1710146220 |
| NPI Enumeration Date: | 09 Jun, 2008 |
| NPI Last Update On: | 09 Jun, 2008 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa M Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 380567 | Pediatrics | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa M Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 380567 | Other | New York | NYS LICIENCE NUMBER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lisa M Clark
University Hosp Medical Center Stony Brook, Dept Pediatrics Hsc 11th Floor
Stony Brook, New York |
| Zip: | 11794-8111 |
| Phone Number: | 631-444-2967 |
| Fax Number: | 631-444-6212 |
Patients can reach Lisa M Clark at
University Hosp Medical Center Stony Brk, Dept Pediatrics Hsc 11th Floor, Stony Brook, New York or can
call to book an appointment on 631-444-2967.
Comments/ Reviews:
Patients can read all the reviews posted for Lisa M Clark below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Lisa M Clark. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.