NPI 1023231420

Lavar W Kofoed, OD

Practitioner Optometrist Boise, ID

Practice location

Address: 291 N Milwaukee St, Boise, ID 83704-9132
Phone: (208) 378-7020
Fax: (208) 378-9460

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-972 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1023231420
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2007
Record last updated: 14 Apr 2010

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.