Lisa A. Groth O.D.

NPI 1033225677 - Optometrist - 152W00000X

NPI Details
NPI 1033225677
Gender Female
Enumeration Date 08/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4000 S BOLGER RD
INDEPENDENCE MO, 64055-6776, US
Phone (816) 478-3699
Fax (816) 478-3692
Business Location
5521 ALDEN ST
SHAWNEE KS, 66216-4681, US
Phone (913) 314-5176
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 5402T
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According to our database, Dr. Lisa A. Groth O.D. NPI is 1033225677, taxonomy code is 152W00000X and license number is 5402T, license state is located at Texas. Lisa A. Groth O.D. physically located at 4000 S Bolger Rd, Independence MO, 64055-6776. NPI Number Lisa A. Groth O.D. has the Individual type.

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1033225677 NPI number is provided on an as is basis without warranty of any kind. 1033225677 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa A. Groth O.D. are for informational purposes only.