Clay, Lisa Renee

Clay, Lisa Renee is an individual health care provider with primary practice located at 210 N Celia Ave , Muncie IN 47303. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Clay, Lisa Renee can be contacted via phone (765) 702-4633.

Contact Information

Primary practice address
210 N Celia Ave Muncie IN 47303
Phone: (765) 702-4633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01065883A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01065883A Indiana

Profile Details

NPI number 1124228010
LBN Legal business name Clay, Lisa Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2007
Last updated Nov 21st, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124228010 NPPES
Indiana MEDICAID 200931520A

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