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LISA CLARK
NPI 1760079578
Technician - Personal Care Attendant in Crum, WV

Active since December 28, 2020
287 BEAR BRANCH RD, CRUM, WV 25669(304) 393-4791 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Clark NPPES

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

LISA CLARK (NPI 1760079578) is an individual personal care attendant in Crum, West Virginia and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1760079578
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameLISA CLARK
Location Address287 BEAR BRANCH RDCrum, WV 25669-8070
Mailing Address287 Bear Branch RdCrum, WV 25669-8070 · (304) 393-4791
Phone(304) 393-4791
Sole ProprietorNo
Enumeration DateDecember 28, 2020
NPPES CertifiedDecember 28, 2020
✔ NPI 1760079578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
287 BEAR BRANCH RD, Crum, WV 25669
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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 1760079578. It was assigned to this individual provider in the NPPES registry on December 28, 2020.

Where is Lisa Clark located?

Lisa Clark practices at 287 Bear Branch Rd, Crum, WV 25669. The listed phone number is (304) 393-4791.

What is Lisa Clark's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Lisa Clark was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.