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Individual

LISA A. CLARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(619) 644-6702
Mailing address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(619) 644-6702

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN375180
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN375180
CA

Other

Enumeration date
08/08/2006
Last updated
09/11/2025
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