Hawks Prairie Vision Clinic, P.s.
NPI #1952583536 in Lacey, Washington
Provider Information
- NPI Number
- 1952583536
- Entity Type
- Organization
- Organization Name
- Hawks Prairie Vision Clinic, P.s.
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Dec 5, 2007
- Last Updated
- Oct 27, 2015
Practice Location
- Address
- 2539 MARVIN RD NE STE B
- City
- Lacey
- State
- Washington
- ZIP Code
- 98516-3175
- Phone
- (360) 459-3333
Authorized Official
- Name
- MRS. CONNIE LEE PIRANIO, O.D.
- Title
- DOCTOR
- Phone
- (360) 459-3333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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