| 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 |