Individual
LISA A CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CDE
Contact information
Practice address
2430 20TH ST SW, JAMESTOWN, ND 58401-6201
(701) 253-5300
(701) 253-5402
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R27131
ND
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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