LISA CLARK, M.D.
Family Medicine
Active
Individual
NPI: 1598779100
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | ME73997 (FL) |
Frequently Asked Questions
NPI 1598779100 is the National Provider Identifier for LISA CLARK, M.D., a Family Medicine provider located in Destin, FL. This NPI was enumerated on July 28, 2006.
LISA CLARK, M.D. practices at 12815 HIGHWAY 98 WEST, SUITE 116, Destin, FL 32550.
Quick Facts
- NPI
- 1598779100
- Type
- Individual
- Enumerated
- Jul 28, 2006
- Last Updated
- Jul 8, 2007
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