Individual
LAURA PAINTER CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3301 30TH ST, BOULDER, CO 80301-1401
(303) 443-4311
(303) 443-4313
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.0003192
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639943
—
AK
Enumeration date
08/16/2013
Last updated
12/15/2021
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