Provider Demographics
NPI:1992091367
Name:BAROUH, LINDSEY BETH (OD)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:BETH
Last Name:BAROUH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8500 HENRY AVE
Mailing Address - Street 2:ANDORRA SHOPPING CENTER
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-2111
Mailing Address - Country:US
Mailing Address - Phone:215-487-2345
Mailing Address - Fax:215-487-2346
Practice Address - Street 1:8500 HENRY AVE
Practice Address - Street 2:ANDORRA SHOPPING CENTER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-2111
Practice Address - Country:US
Practice Address - Phone:215-487-2345
Practice Address - Fax:215-487-2346
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002466152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist