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Individual

DR. LISA K FOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
13455 MANCHESTER RD, SAINT LOUIS, MO 63131-1711
(314) 822-4423
(314) 822-5541
Mailing address
956 FORESTLAC CT, SAINT LOUIS, MO 63141-6015
(636) 346-9262
(314) 822-5541

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2001029920
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
680553276
S CORP TAX ID
MO
Enumeration date
10/16/2006
Last updated
02/10/2017
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