DR. Lavar W Kofoed, O.D.

NPI #1023231420 in Boise, Idaho

Provider Information

NPI Number: 1023231420
Entity Type: Individual
Name: DR. Lavar W Kofoed, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Apr 11, 2007
Last Updated: Apr 14, 2010

Practice Location

Address: 291 N MILWAUKEE ST
City: Boise
State: Idaho
ZIP Code: 83704-9132
Phone: (208) 378-7020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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