Lisa Renee Clark

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

Practice address

7687 Cortland Ave
Allen Park, MI 48101-2213

Phone

(313) 585-4492

NPI assigned

Dec 28, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1013677384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7687 CORTLAND AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012213",
            "telephone_number": "313-585-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7687 CORTLAND AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012213",
            "telephone_number": "313-585-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Chiolino
• Chitter Chatter, P.C
• Theodora Chukwudi, FNP
• Sylvia Mary Cimino, RPT
• City of Allen Park
• Colleen a. Kunz Otrl, PLLC.
• Phyllis Collier, NP
• Jessica Collins
• Nicole Danielle Colon, PTA
• Comprehensive Homecare, LLC

• Registered Respiratory Therapist in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Registered Respiratory Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.