NPI 1073124400
Lisa Kimberly Grovenstein, AUD
Practice location
- Address
- 3 Shircliff Way STE 322, Jacksonville, FL 32204-4780
- Phone
- (904) 384-8088
- Fax
- (904) 384-4745
- Mailing address
- 11945 San Jose Blvd STE 300, Jacksonville, FL 32223-1627
Registered specialties
Audiologist
Primary
Registry record
- NPI
- 1073124400
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Aug 2020
- Record last updated
- 10 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.