DR. Lisa Thatch, O.D.

NPI #1548210032 in High Ridge, Missouri

Provider Information

NPI Number: 1548210032
Entity Type: Individual
Name: DR. Lisa Thatch, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 12, 2006
Last Updated: Apr 12, 2019

Practice Location

Address: 2698 GRAVOIS RD
City: High Ridge
State: Missouri
ZIP Code: 63049-2508
Phone: (636) 677-1166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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