MS. LISA ANN CLARK (NPI# 1073857801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073857801 |
Entity Type | Individual |
Full Name | MS. LISA ANN CLARK |
Credential | LMT |
Practice Address |
1110 Chenango St Binghamton NY 13901-1668 |
Practice Telephone | 6072215041 |
Mailing Telephone | 6072215041 |
Enumeration Date | 2012-11-16 |
Last Update Date | 2012-11-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 016722-1 | NY | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154776912 | Lisa Clark | Counselor | 8722 Heaton St, New Orleans, LA 70118-2616 | 2016-04-29 |
1548694383 | Lisa G Clark | Speech-Language Pathologist | 2405 Champaign Ave, Mattoon, IL 61938-2646 | 2013-08-28 |
1952680324 | Lisa S Clark | Counselor | 1223 Meadow Lake Rd, Rockledge, FL 32955-8403 | 2011-08-16 |
1134456445 | Lisa Lynn Clark | Occupational Therapist | 85 Lunt Rd, Brunswick, ME 04011-7289 | 2009-11-06 |
1437485836 | Lisa Landers Clark | Counselor | 1 Waterford Ln, Savannah, GA 31411-1305 | 2009-10-20 |
1710146220 | Lisa M Clark | Nurse Practitioner | University Hosp Medical Center Stony Brk, Dept Pediatrics Hsc 11th Floor, Stony Brook, NY 11794-0001 | 2008-06-09 |
1376742841 | Lisa M Clark | Specialist | 4308 N 26th St, Tacoma, WA 98407-5211 | 2007-07-15 |
1356453260 | Lisa M Clark | Dentist | Bonham Family Dentistry, 101 E 9th Street, Bonham, TX 75418 | 2006-08-31 |
1598779100 | Lisa Bardy Clark | Family Medicine | 12815 Highway 98 West, Suite 116, Destin, FL 32550 | 2006-07-28 |
1952378226 | Lisa Clark | Psychologist | 225 Medical Way, Riverdale, GA 30274-2522 | 2006-03-04 |
Street Address |
1110 CHENANGO ST |
City | BINGHAMTON |
State | NY |
Zip Code | 13901-1668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508343450 | Michael Patrick Reistetter | Family Medicine | 17 Chenango Bridge Rd., Binghamton, NY 13901 | 2018-07-24 |
1003337932 | Benjamin H Fievisohn | Pharmacist | 85 Robinson At, Rite Aid Pharmacy, Binghamton, NY 13901 | 2017-06-30 |
1073870424 | Younis Al Kass | Internal Medicine | 35 Fernwood Lane, Binghamton, NY 13901 | 2012-04-23 |
1457622425 | Margaret Smith Peters | Social Worker | 221 Chenango Bridge, Binghamton, NY 13901 | 2012-01-23 |
1245551159 | Elizabeth Maria Camp | Speech-Language Pathologist | 810 Brotzman Rd., Binghamton, NY 13901 | 2010-06-15 |
1356665491 | Lauretta A Maginley | Licensed Practical Nurse | 66 Hawley St., Stafkings, Binghamton, NY 13901 | 2010-03-18 |
1790008159 | Sofia Kitimbo Adam | Pharmacist | 34 West State St, Binghamton, NY 13901 | 2010-03-12 |
1851622211 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 11-23 Court Street, Binghamton, NY 13901 | 2010-01-26 |
1124272034 | Janet Lynne Jones-mcguane | Occupational Therapist | 8 Hodge Avenue, Binghamton, NY 13901 | 2008-11-06 |
1891943395 | Carmela Gobbo Pirich | Counselor | 30 West State Street, Binghamton, NY 13901 | 2008-09-09 |
Find all providers in zip 13901 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982241121 | Diane Irene Davie | Specialist | 37 1/2 Hayes St, Binghamton, NY 13903 | 2019-12-06 |
1710444302 | Amna Mian | Specialist | 4400 Vestal Parkway East Institute for Child Developmen, Binghamton, NY 13902 | 2019-03-01 |
1790182491 | Elizabeth Anderson | Specialist | 1187 Cornell Ave, Binghamton, NY 13901-1505 | 2014-11-24 |
1659641959 | Ellen Marie Krupa-starley | Specialist | 106 Gaylord St, Binghamton, NY 13904-1322 | 2012-01-04 |
1992942486 | Sue Bennett | Specialist | 159 Lewis Rd, Binghamton, NY 13905-1049 | 2009-01-21 |
1902041130 | Marie Reva Reid | Specialist | 3390 Hance Rd, Binghamton, NY 13903-5756 | 2008-12-02 |
1003879875 | Marek Marian Gawel | Specialist | 161 Riverside Drive, Suite 306, Binghamton, NY 13905 | 2006-04-11 |
1871051250 | Colleen Margaret Murphy | Specialist | 4400 Vestal Pkwy, Binghamton, NY 13902-4600 | 2019-03-05 |
1457832370 | Heather Sue Badger-brown | Specialist | 8 Thomas Rd, Binghamton, NY 13905-1725 | 2018-08-28 |
1134665524 | Jamie Geagan | Specialist | 4400 Vestal Parkway East, Binghamton University Institute for Child Development, Binghamton, NY 13902-6000 | 2017-01-10 |
Find all providers in BINGHAMTON |
City | BINGHAMTON |
Zip Code | 13901 |
Please comment or provide details below to improve the information on MS. LISA ANN CLARK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.