Lisa K Parks OD

NPI 1063408169 - Optometrist - 152W00000X

NPI Details
NPI 1063408169
Gender Female
Enumeration Date 09/23/2005
Last Updated 06/07/2016
Entity Type Individual
Active Over 12 years ago
Practice Location
106 W JEFFERSON ST
CLINTON MO, 64735-2061, US
Phone (660) 885-2800
Fax (660) 885-5353
Business Location
106 W JEFFERSON ST
CLINTON MO, 64735-2061, US
Phone (660) 885-2800
Fax (660) 885-5353
Toxanomy
Taxonomy Code 152W00000X
License State Missouri
License Number TO2752
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According to our database, Dr. Lisa K Parks OD NPI is 1063408169, taxonomy code is 152W00000X and license number is TO2752, license state is located at Missouri. Lisa K Parks OD physically located at 106 W Jefferson St, Clinton MO, 64735-2061. NPI Number Lisa K Parks OD has the Individual type.

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1063408169 NPI number is provided on an as is basis without warranty of any kind. 1063408169 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa K Parks OD are for informational purposes only.