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

Lisa Bardy Clark, MD

Individual provider Family Medicine Physician · NPI 1598779100

Lisa Bardy Clark, MD is a Family Medicine Physician in Destin, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12815 Highway 98 W Ste 116
Destin, FL 32550
Phone: (850) 269-0111
Fax: (850) 269-0114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME73997 (FL)

Record details

NPI number1598779100
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 28, 2006
Last updated in NPPESJuly 8, 2007
Mailing address12815 Highway 98 West, Suite 116, Destin, FL 32550

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