Individual
ELIZABETH LACY GROVES-EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1931 BROWN ST, ANDERSON, IN 46016-4206
(765) 644-1225
Mailing address
1931 BROWN ST, ANDERSON, IN 46016-4206
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01065270A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201011760
—
IN
Enumeration date
07/28/2008
Last updated
06/27/2022
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