Individual
LARS DANIEL BOGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5012 CARLISLE PIKE, MECHANICSBURG, PA 17050-2401
(717) 763-2020
(717) 909-6746
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003593
PA
Other
Enumeration date
07/29/2019
Last updated
06/12/2024
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