Lacey Boggan
NPI #1053709865 in Deer Park, Washington
Provider Information
- NPI Number
- 1053709865
- Entity Type
- Individual
- Name
- Lacey Boggan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Dec 31, 2014
- Last Updated
- Jul 3, 2025
Practice Location
- Address
- 14 N VERNON AVE
- City
- Deer Park
- State
- Washington
- ZIP Code
- 99006
- Phone
- (509) 276-0026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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