IndividualActive
Lisa Clarke, RD, CSSD
NPI 1497357859 · Sports Dietetics Nutrition Registered Dietitian · Beaumont, TX
Provider details
- NPI number
- 1497357859
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CSSD
- Sex
- Female
- Sole proprietor
- Yes
- License
- DT85055 (TX)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
211 Redbird Lane
Beaumont, TX 77705-9801
Phone: (409) 880-2359
Approximate (ZIP-level) locationGet directions
Mailing address
849 Harvard St Apt D
Houston, TX 77007-1644
Registry dates
- Enumerated
- 2020-11-11
- Last updated
- 2020-11-11
- Certified
- 2020-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.