Lisa Marie Clark in Cleveland - Anesthesiologist Assistant
Lisa Marie Clark - NPI 1215998927
Lisa Marie Clark is a Anesthesiologist Assistant in Cleveland, Ohio. Lisa Marie Clark practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Lisa Marie Clark is 1215998927. The last update date is 2023-08-18.
Lisa Marie Clark's current location address is 11100 Euclid Ave, Cleveland, Ohio. You can contact this provider via phone number 2168445583. The mailing address for Lisa Marie Clark is 11100 Euclid Ave, Cleveland, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marie Clark |
|---|---|
| Address | 11100 Euclid Ave, Cleveland, Ohio |
| Phone Number | 2168445583 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CAA |
NPI Number Detail
| NPI Number | 1215998927 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2023-08-18 |
Provider Mailing Address Detail
| Address | 11100 Euclid Ave |
|---|---|
| City | Cleveland |
| State | Ohio (OH) |
| Post Code | 441061716 |
| Phone Number | 2168445583 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiologist Assistant |
|---|---|
| Taxonomy | 367H00000X |
| Licence No | 75000044A |
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Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesth |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 185M9 | NC | BCBS | |
| 2438348 | OH | -- | |
| 377459 | OH | ANTHEM BCBS | |
| 1215998927 | NC | TRICARE | |
| 1215998927 | NC | -- |
Post Comment/ Review Below
What is the Lisa Marie Clark's unique identification number?
The Lisa Marie Clark has been assigned the NPI (National Provider Identifier) Number 1215998927 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Lisa Marie Clark's physical address?
The Lisa Marie Clark is physically located at 11100 Euclid Ave, in the city of Cleveland, OH, with the postal code 441061716.
What is Lisa Marie Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa Marie Clark is Anesthesiologist Assistant, and the corresponding taxonomy classification code for this specialized field is 367H00000X.
On what date did the Lisa Marie Clark receive its 1215998927 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Marie Clark was assigned its 1215998927 by the Centers for Medicare & Medicaid Services on 2006-03-31.
When was the Lisa Marie Clark's information last updated?
The Lisa Marie Clark's information was last updated on 2023-08-18.