Individual
DR. LACIE CATHERINE SPAGNOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1257 SW 4TH AVE, ONTARIO, OR 97914-4516
(541) 889-2191
(541) 881-1523
Mailing address
1257 SW 4TH AVE, ONTARIO, OR 97914-4516
(541) 889-2191
(541) 881-1523
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4539
OR
Other
Enumeration date
08/10/2020
Last updated
09/08/2020
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