# LISA M BOOKERT M.D. PA.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** clayton family practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124323803
- **Authorized official:** DR. LISA M BOOKERT M.D. (PRESIDENT)
- **Authorized official phone:** (919) 553-6060

## Contact information

- **Practice address:** 900 S LOMBARD ST, CLAYTON, NC 27520-2737
- **Practice address phone:** (919) 553-6060
- **Practice address fax:** (919) 553-4747
- **Mailing address:** 900 S LOMBARD ST, CLAYTON, NC 27520-2737
- **Mailing address phone:** (919) 553-6060
- **Mailing address fax:** (919) 553-4747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 30780 | NC | Yes |

## Other

- **Enumeration date:** 01/11/2011
- **Last updated:** 01/11/2011