Organization
LISA L ROBINSON OD PC
Active
Other names
Coeur d Alene Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA L ROBINSON OPTOMETRIST (OWNER)
(208) 765-5665
Entity
Organization
Contact information
Practice address
409 W NEIDER AVE STE C, COEUR D ALENE, ID 83815-9423
(208) 765-5665
(208) 765-1716
Mailing address
409 W NEIDER AVE STE C, COEUR D ALENE, ID 83815-9423
(208) 765-5665
(208) 765-1716
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-906
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184854408
—
ID
Enumeration date
07/21/2009
Last updated
10/22/2010
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