DR. Lance Elden Bloom, O.D.

NPI #1912331877 in Boise, Idaho

Provider Information

NPI Number
1912331877
Entity Type
Individual
Name
DR. Lance Elden Bloom, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Aug 28, 2013
Last Updated
Jan 5, 2023

Practice Location

Address
291 N MILWAUKEE ST STE A-3
City
Boise
State
Idaho
ZIP Code
83704-9132
Phone
(833) 776-2020

Specialties & Taxonomy Codes

Specialty
Optometrist

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