NPI 1053709865

Lacey Boggan

Practitioner Eyewear Supplier Deer Park, WA

Practice location

Address: 14 N Vernon Ave, Deer Park, WA 99006
Phone: (509) 276-0026
Mailing address: 41007 N Running Deer Ln, Deer Park, WA 99006-5128

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Washington →

Registry record

NPI: 1053709865
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Dec 2014
Record last updated: 3 Jul 2025

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.