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Lance Fagan, O.D
NPI 1891775151 · on the registry since 2006
Practice
- Address
- 1801 N 3rd St
Coeur D Alene, ID 83814 - Phone
- (208) 667-1591
- Fax
- (208) 676-8574
- Organisation at this address
- Coeur D Mind
Healing Restorations PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-04-12
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 Idaho