Organization
LWK, P.C.
Active
Other names
Eye Pros, Idaho Eye Pros
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAVAR W KOFOED OD (PRESIDENT)
(208) 378-7020
Entity
Organization
Contact information
Practice address
291 N MILWAUKEE ST, SUITE A-3, BOISE, ID 83704
(208) 378-7020
(208) 375-7970
Mailing address
3485 N COLE RD UNIT 45479, BOISE, ID 83711-1095
(208) 297-7019
(208) 297-7518
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
972
ID
Other
Enumeration date
09/04/2009
Last updated
02/04/2020
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