NPI 1013171743

Lacy Ann Boggs, OD

Practitioner Optometrist Lebanon, IN

Practice location

Address: 112 W Washington St STE 101, Lebanon, IN 46052-2590
Phone: (765) 484-8247
Fax: (765) 484-8253

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18003549 (IN)

Other Optometrist providers in Indiana →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 5808 (OH)

Registry record

NPI: 1013171743
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2008
Record last updated: 28 Jun 2011

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.