Lisa Groth, O.D

NPI 1033225677 · on the registry since 2006 · sole proprietor

Practice

Address: 4000 S Bolger Rd
Independence, MO 64055
Phone: (816) 478-3699
Fax: (816) 478-3692
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 152W00000X
152W00000X
Also registered as: 152W00000X
152W00000X
Licence states on file: MO, TX, WA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri