Clark, Lisa

Clark, Lisa is an individual health care provider with primary practice located at 287 Bear Branch Rd , Crum WV 25669-8070. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Clark, Lisa can be contacted via phone (304) 393-4791.

Contact Information

Primary practice address
287 Bear Branch Rd Crum WV 25669-8070
Phone: (304) 393-4791
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X West Virginia

Profile Details

NPI number 1760079578
LBN Legal business name Clark, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2020
Last updated Dec 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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