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Organization
PACIFIC CATARACT AND LASER INSTITUTE, INC., P.C.
Active
Organization
PACIFIC CATARACT AND LASER INSTITUTE, INC., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA PEARSON (CREDENTIALING SPECIALIST)
(360) 242-3008
Entity
Organization
Contact information
Practice address
3330 4TH ST, LEWISTON, ID 83501-4405
(208) 746-2025
(360) 807-7687
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
ID
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
ID
Other
Enumeration date
05/09/2008
Last updated
07/18/2022
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