SearchIndiana152W00000X

Lacy Boggs, O.D

NPI 1013171743 · on the registry since 2008 · sole proprietor

Practice

Address
112 W Washington St
Ste 101
Lebanon, IN 46052
Phone
(765) 484-8247
Fax
(765) 484-8253
Organisation at this address
Lacy Moser Boggs, Od, Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152W00000X
Licence states on file
OH, IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-06-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana