LANCE WILLIAM FAGAN

COEUR D ALENE, ID
NPI1891775151
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  IDP1029)
Enumeration Date2006-01-20
Last Update Date2011-04-12
Business Address
Dr. LANCE WILLIAM FAGAN O.D.
1801 N 3RD ST
COEUR D ALENE, ID 83814-3400
Phone number: 208-667-1591
Mailing Address
Dr. LANCE WILLIAM FAGAN O.D.
1801 N 3RD ST
COEUR D ALENE, ID 83814-3400
Phone number: 208-667-1591
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