Individual
LISA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8683 W SAHARA AVE, SUITE 220, LAS VEGAS, NV 89117-5878
(702) 369-3338
(702) 878-8761
Mailing address
8683 W SAHARA AVE, SUITE 220, LAS VEGAS, NV 89117-5878
(702) 369-3338
(702) 878-8761
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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