Individual
LISA ERIN CLEMENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9515
(812) 353-9275
Mailing address
PO BOX 1149, BLOOMINGTON, IN 47402-1149
(812) 353-3087
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/24/2012
Last updated
08/17/2016
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