Whalio Doctors

NPI 1326550096

Lawrence D Anderson MD Estate

Organisation Ophthalmology Physician Boise, ID

Practice location

Address
8955 W Hackamore Dr, Boise, ID 83709
Phone
(208) 344-7944
Fax
(208) 343-4676

Authorised official

Name
Nathan B Anderson
Title
Personal Representative
Phone
(208) 344-7944

Registered specialties (2)

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X

Registry record

NPI
1326550096
Entity type
Organization
NPI issued
2 Nov 2017
Record last updated
10 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.