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
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.