Lwk, P.c.

NPI #1851624019 in Boise, Idaho

Provider Information

NPI Number: 1851624019
Entity Type: Organization
Organization Name: Lwk, P.c.
Primary Specialty: Optometrist
Enumeration Date: Sep 4, 2009
Last Updated: Feb 4, 2020

Practice Location

Address: 291 N MILWAUKEE ST
Address 2: SUITE A-3
City: Boise
State: Idaho
ZIP Code: 83704
Phone: (208) 378-7020

Authorized Official

Name: DR. LAVAR W KOFOED, OD
Title: PRESIDENT
Phone: (208) 378-7020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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