Lisa Lynn Clark in Dothan - Nurse Anesthetist, Certified Registered
Lisa Lynn Clark - NPI 1336100130
Lisa Lynn Clark is a Nurse Anesthetist, Certified Registered in Dothan, Alabama. Lisa Lynn Clark practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Lisa Lynn Clark is 1336100130. The last update date is 2011-07-25.
Lisa Lynn Clark's current location address is Po Box 6907, Dothan, Alabama. You can contact this provider via phone number 3347935000 and fax number 3346158428. The mailing address for Lisa Lynn Clark is Po Box 6907, Dothan, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Lynn Clark |
|---|---|
| Address | Po Box 6907, Dothan, Alabama |
| Phone Number | 3347935000 |
| Fax Number | 3346158428 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1336100130 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2011-07-25 |
Provider Mailing Address Detail
| Address | Po Box 6907 |
|---|---|
| City | Dothan |
| State | Alabama (AL) |
| Post Code | 36302 |
| Phone Number | 3347935000 |
| Fax Number | 3346158428 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 1054427 |
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Definition: (1) A licensed 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51515740 | AL | BLUE CROSS BLUE SHIELD | |
| 301239500 | FL | -- | |
| P00078968 | RR MEDICARE | ||
| 000652451B | GA | -- | |
| 51515740 | AL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lisa Lynn Clark by the Centers for Medicare & Medicaid Services?
The Lisa Lynn Clark has been issued the NPI (National Provider Identifier) 1336100130, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lisa Lynn Clark's facilities are geographically located?
The facilities of Lisa Lynn Clark are physically situated at the following location: Po Box 6907, Dothan, AL, 36302.
What is Lisa Lynn Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa Lynn Clark is Nurse Anesthetist, Certified Registered, and the taxonomy code that classifies this field of practice is 367500000X.
When did the Lisa Lynn Clark receive its 1336100130?
The Lisa Lynn Clark was issued its 1336100130 on 2006-03-31, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Lisa Lynn Clark most recently updated or revised?
The details related to Lisa Lynn Clark, including its address, specialty, and other relevant information, were last updated or revised on 2011-07-25.