Lakeside Vision, Pllc

NPI #1457666729 in Liberty Lake, Washington

Provider Information

NPI Number: 1457666729
Entity Type: Organization
Organization Name: Lakeside Vision, Pllc
Primary Specialty: Optometrist
Enumeration Date: Aug 11, 2010
Last Updated: Aug 11, 2010

Practice Location

Address: 22106 E COUNTRY VISTA DR
Address 2: SUITE A
City: Liberty Lake
State: Washington
ZIP Code: 99019-6017
Phone: (509) 927-2020

Authorized Official

Name: DR. LAURA FISCHER, OD
Title: OPTOMETRIST
Phone: (509) 879-8376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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