Lisa Christine Clark, RN is a
Registered Nurse based in North Bangor, New York. Lisa Christine Clark is licensed to practice in New York (license number 911189) and her current practice location is
45 Muller Rd, North Bangor, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 812-5630.
NPI number for Lisa Christine Clark is 1629835335 and her current mailing address is 45 Muller Rd, North Bangor, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629835335.
Provider's Profile
| Full Name | Lisa Christine Clark |
|---|
| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 45 Muller Rd, North Bangor, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629835335
- Provider Enumeration Date: 02/29/2024
- Last Update Date: 02/29/2024
Medical Identifiers
Medical identifiers for Lisa Christine Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629835335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 911189 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Christine Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lisa Christine Clark, RN
45 Muller Rd,
North Bangor, NY 12966-2500
Ph: (518) 812-5630 | Lisa Christine Clark, RN
45 Muller Rd,
North Bangor, NY 12966-2500
Ph: (518) 812-5630 |
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