NPI 1215962915

Lisa L. Porter, OD

Practitioner Optometrist Idaho Falls, ID

Practice location

Address: 1480 E Lincoln Rd STE B, Idaho Falls, ID 83401-2128
Phone: (208) 525-8686
Fax: (208) 525-8684
Mailing address: 852 E Parri Dr, Idaho Falls, ID 83401-5626

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-10013 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1215962915
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2006
Record last updated: 11 Nov 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.