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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LACEY BOGGAN

Active Sole Proprietor

LACEY BOGGAN is a Eyewear Supplier healthcare provider located in DEER PARK, Washington. NPI 1053709865 is currently active in the NPPES registry. Verify at CMS.

Eyewear Supplier · DEER PARK, WA

Registration Details

NPI Number
1053709865
Provider Type
Individual
Gender
Female
NPI Issued
Dec 31, 2014 (11.639616490928 yrs)
Last Updated
Jul 3, 2025
Sole Proprietor
Yes

Practice Information

Address
14 N VERNON AVE
DEER PARK, WA, 99006
Browse WA providers · Browse ZIP 99006
Phone
5092760026
Primary Specialty
Eyewear Supplier
332H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.