Individual
LACEY BOGGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 N VERNON AVE, DEER PARK, WA 99006
(509) 276-0026
Mailing address
41007 N RUNNING DEER LN, DEER PARK, WA 99006-5128
(509) 276-0026
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
WA
Other
Enumeration date
12/31/2014
Last updated
07/03/2025
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