Lisa Clack, RN - Registered Nurse in Racine, WI

Lisa Clack, RN is a Registered Nurse based in Racine, Wisconsin. Lisa Clack is licensed to practice in Wisconsin (license number 197907-30) and her current practice location is 3435 Daisy Ln, Racine, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 880-4576.

NPI number for Lisa Clack is 1215348438 and her current mailing address is 3435 Daisy Ln, Racine, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215348438.

Contact Information

Lisa Clack, RN
3435 Daisy Ln,
Racine, WI 53405-4605
(262) 880-4576
Not Available



Provider's Profile

Full NameLisa Clack
GenderFemale
SpecialityRegistered Nurse
Location3435 Daisy Ln, Racine, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215348438
  • Provider Enumeration Date: 05/09/2014
  • Last Update Date: 05/09/2014

Medical Identifiers

Medical identifiers for Lisa Clack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215348438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 197907-30 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Clack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Clack, RN
3435 Daisy Ln,
Racine, WI 53405-4605

Ph: (262) 880-4576
Lisa Clack, RN
3435 Daisy Ln,
Racine, WI 53405-4605

Ph: (262) 880-4576

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Registered Nurse Nurses in Racine, WI

Rosamaria E Garcia, REGISTERED NURSE
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1120 Hartman Ct, Racine, WI 53404
Phone: 262-994-3266    
Laura Schumacher, CRNA
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 3801 Spring St, Racine, WI 53405
Phone: 414-687-6210    
Ms. Barbara Jo Paton, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 714 Shoreland Dr, Racine, WI 53402
Phone: 262-639-1568    
Mrs. Debra Kaye Prudhom Iii, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3613 Kinzie Ave, Racine, WI 53405
Phone: 262-632-4394    
Ms. Veronique Gettis, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5021 Byrd Ave, 201, Racine, WI 53406
Phone: 708-897-6489    
Amy Connelly, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2317 Orchard St, Racine, WI 53405
Phone: 608-209-2241    
Mrs. Kizzie Marie Durgom, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Domanik Dr, Racine, WI 53404
Phone: 262-633-4800    

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