Individual
DR. LISA K PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
106 W JEFFERSON ST, CLINTON, MO 64735-2061
(660) 885-2800
(660) 885-5353
Mailing address
106 W JEFFERSON ST, CLINTON, MO 64735-2061
(660) 885-2800
(660) 885-5353
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2752
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312607906
—
MO
Enumeration date
09/23/2005
Last updated
06/07/2016
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