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

Lisa M Clark, CPNP-AC

Individual provider Pediatric Nurse Practitioner · NPI 1710146220

Lisa M Clark, CPNP-AC is a Pediatric Nurse Practitioner in Stony Brook, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008

Practice location Partly verified

Some contact details are missing from the federal record.

University Hosp Medical Center Stony Brk Dept Pediatrics Hsc 11TH Fl
Stony Brook, NY 11794-0001
Phone: (631) 444-2967
Fax: (631) 444-6212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 380567 (NY)

Record details

NPI number1710146220
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC
Sole proprietorNo
NPI enumeratedJune 9, 2008
Last updated in NPPESJune 9, 2008

Other providers in Stony Brook