Clark, Lisa Marie

Clark, Lisa Marie is an individual health care provider with primary practice located at 727 Shasta St , Redwood City CA 94063-2124. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Clark, Lisa Marie can be contacted via phone (650) 599-1071.

Contact Information

Primary practice address
727 Shasta St Redwood City CA 94063-2124
Phone: (650) 599-1071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1164132445
LBN Legal business name Clark, Lisa Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2022
Last updated Jan 18th, 2023 - about 2 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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