NPI | 1881761351 |
---|---|
Doing Business As | LAWRENCE W. NIVALA, OD |
Entity Type | Organization |
Authorized Contact | LAWRENCE WILLIAM NIVALA Owner 360-452-2361 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD2046) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2008-02-12 |