LAVAR W KOFOED

BOISE, ID
NPI1023231420
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-972)
Enumeration Date2007-04-11
Last Update Date2010-04-14
Business Address
Dr. LAVAR W KOFOED O.D.
291 N MILWAUKEE ST
BOISE, ID 83704-9132
Phone number: 208-378-7020
Mailing Address
Dr. LAVAR W KOFOED O.D.
291 N MILWAUKEE ST
BOISE, ID 83704-9132
Phone number: 208-378-7020
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