Individual
DR. LISA CHABOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
248 S FLORISSANT RD, FERGUSON, MO 63135-2736
(314) 522-8773
(314) 522-0228
Mailing address
248 S FLORISSANT RD, FERGUSON, MO 63135-2737
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03129
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181457
BLUE CROSS BLUE SHIELD
MO
05
—
316777663
—
MO
Enumeration date
12/12/2006
Last updated
04/20/2015
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