Whalio Doctors

NPI 1073124400

Lisa Kimberly Grovenstein, AUD

Practitioner Audiologist Jacksonville, FL

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
Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence AY2395 (FL)

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.