LISA M BOOKERT M.D. PA. NPI 1124323803

NPI Information

NPI: 1124323803
Provider Name: LISA M BOOKERT M.D. PA.

Other Name: CLAYTON FAMILY PRACTICE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
900 S LOMBARD ST
CLAYTON, NC
ZIP 27520
Phone: (919) 553-6060
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LISA M BOOKERT M.D. PA. is a primary care clinic center in Clayton, NC. LISA M BOOKERT M.D. PA. NPI is 1124323803. The provider is registered as an organization entity type.
The provider Other Name Is Clayton Family Practice.

The provider's business location address is:

900 S LOMBARD ST
CLAYTON, NC
ZIP 27520-737
Phone: (919) 553-6060
Fax: (919) 553-4747

The provider's authorized official is Lisa M Bookert .
The authorized official title is President and has the following contact phone number (919) 553-6060.

The enumeration date for this NPI number is 1/11/2011 and was last updated on 1/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	30780	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	8916757	MEDICAID	NORTH CAROLINA
2	2203906	MEDICARE PIN	NORTH CAROLINA
3	A49195	MEDICARE UPIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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