Lacey Boggan is a Eyewear Supplier based in Deer Park, WA. Lacey Boggan practices in Deer Park, WA. The NPI Number for Lacey Boggan is 1053709865 and holds a License No. (Washington).
The current practice location address for Lacey Boggan is 9 N Main St, Deer Park, WA and can be reached out via phone at 509-276-0026.
Location: 9 N Main St, Deer Park, WA, 99006-5128
Provider Profile Details
NPI Number
1053709865
Provider Name
Lacey Boggan
Credential
Provider Entity Type
Individual
Gender
Female
Address
9 N Main St, Deer Park, WA, 99006-5128
Phone Number
509-276-0026
Fax Number
Provider Enumeration Date
12/31/2014
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
9 N Main St
City
State
Zip
99006
Phone Number
509-276-0026
Fax Number
Provider Business Mailing Address Details
Address
9 N Main St
City
State
Zip
99006
Phone Number
509-276-0026
Fax Number
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
License No.
(Washington)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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