Organization
LISA M BOOKERT M.D. PA.
Active
Other names
clayton family practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M BOOKERT M.D. (PRESIDENT)
(919) 553-6060
Entity
Organization
Contact information
Practice address
900 S LOMBARD ST, CLAYTON, NC 27520-2737
(919) 553-6060
(919) 553-4747
Mailing address
900 S LOMBARD ST, CLAYTON, NC 27520-2737
(919) 553-6060
(919) 553-4747
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
30780
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8916757
—
NC
Enumeration date
01/11/2011
Last updated
01/11/2011
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