KOOTENAI VISION, PLLC
Optometry in Coeur D Alene, ID

License number
Idaho ODP1029
Category
Optometry
Type
Optometrist
Owner
Name: DR. LANCE WILLIAM FAGAN O.D.
Title: MANAGING MEMBER
Phone: (208) 667-2591
Address
Address
1801 N Third St, Coeur D Alene, ID 83814
National Provider ID: 1386856284
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KOOTENAI VISION, PLLC at bizstanding.com

KOOTENAI VISION, P.L.L.C

1801 N 3 St, Coeur d Alene, ID 83814

Registration:
Feb 22, 2002
State ID:
W18202
Business type:
LIMITED LIABILITY COMPANY
Agent:
Lance W Fagan,6160 N 17 St, Coeur d Alene, ID 83815 (Physical)

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