LISA L. PORTER

IDAHO FALLS, ID
NPI1215962915
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: ID  odp-10013)
Enumeration Date2006-07-11
Last Update Date2011-11-11
Business Address
Dr. LISA L. PORTER O.D.
1480 E LINCOLN RD STE B
IDAHO FALLS, ID 83401-2128
Phone number: 208-525-8686
Mailing Address
Dr. LISA L. PORTER O.D.
852 E PARRI DR
IDAHO FALLS, ID 83401-5626
Phone number: 208-757-0441