LISA M CLARK CPNP-AC
NPI 1710146220
Nurse Practitioner - Pediatrics in Stony Brook, NY

Q: What is Lisa Clark's NPI number?

The NPI number for Lisa Clark is 1710146220. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Q: What is Lisa Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Clark was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 09, 2008

UNIVERSITY HOSP MEDICAL CENTER STONY BRK, DEPT PEDIATRICS HSC 11TH FLOOR, STONY BROOK, NY 11794(631) 444-2967(631) 444-6212 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lisa M Clark Cpnp-ac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA M CLARK CPNP-AC (NPI 1710146220) is an individual pediatrics provider in Stony Brook, New York, licensed in New York (380567) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1710146220

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameLISA M CLARKCredential: CPNP-AC

Location AddressUNIVERSITY HOSP MEDICAL CENTER STONY BRK, DEPT PEDIATRICS HSC 11TH FLOORStony Brook, NY 11794-0001

Mailing AddressUniversity Hosp Medical Center Stony Brook, Dept Pediatrics Hsc 11th FloorStony Brook, NY 11794-8111 · (631) 444-2967 · Fax (631) 444-6212

Phone(631) 444-2967

Fax(631) 444-6212

Sole ProprietorNo

Enumeration DateJune 9, 2008

✔ NPI 1710146220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · 380567

UNIVERSITY HOSP MEDICAL CENTER STONY BRK, Stony Brook, NY 11794

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Other Identifiers 1

Other380567NY · Nys Licience Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Clark's NPI number?

The NPI number for Lisa Clark is 1710146220. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Lisa Clark located?

Lisa Clark practices at University Hosp Medical Center Stony Brk Dept Pediatrics Hsc 11th Floor, Stony Brook, NY 11794. The listed phone number is (631) 444-2967.

What is Lisa Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Lisa Clark was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.