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Lisa Jacques
NPI 1457692915 · on the registry since 2013
Practice
- Address
- 16972 Manchester Rd
Wildwood, MO 63040 - Phone
- (636) 477-5187
- Organisation at this address
- Jacques Optometry Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 1034 S Brentwood Blvd, Richmond Heights, MO
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-12
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