LANCE HENDERSON

Optometrist

Active Individual
NPI: 1225186398

Practice Address

134 N STATE ST
Preston, ID 83263

Phone: (208) 852-3030

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes ODP-1004 (ID)

Frequently Asked Questions

NPI 1225186398 is the National Provider Identifier for LANCE HENDERSON, a Optometrist provider located in Preston, ID. This NPI was enumerated on January 8, 2007.
LANCE HENDERSON practices at 134 N STATE ST, Preston, ID 83263.

Quick Facts

NPI
1225186398
Type
Individual
Enumerated
Jan 8, 2007
Last Updated
Apr 15, 2009

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