Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lily Clark, PA-C

Individual provider Physician Assistant · NPI 1699568774

Lily Clark, PA-C is a Physician Assistant in Cincinnati, Ohio. Graduated from Ohio University, College of Osteopathic Medicine in 2025, 1 year ago. Licensed in Ohio.

Years since qualifying
1
Trained at
Ohio University, College of Osteopathic Medicine
Licensed in
OH
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone: (513) 636-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.009525RX (OH)

Record details

NPI number1699568774
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 22, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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