Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LANCE WILLIAM FAGAN, O.D.
ActiveDR. LANCE WILLIAM FAGAN, O.D. is a Optometrist healthcare provider located in COEUR D ALENE, Idaho. NPI 1891775151 is currently active in the NPPES registry. Verify at CMS.
Optometrist · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1891775151
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2006 (20.380472293861 yrs)
- Last Updated
- Apr 12, 2011
- License
-
IDP1029 (ID)
Practice Information
- Address
-
1801 N 3RD STCOEUR D ALENE, ID, 838143400Browse ID providers · Browse ZIP 83814
- Phone
- 2086671591
- Fax
- 2086768574
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. RAYMOND KARL GREENE | OD | 1689669798 |
| DR. WAYNE D ELLENBECKER | O.D. | 1710972450 |
| DR. JOHN L CALDERWOOD | OD | 1285624601 |
| DR. ROBERT JOHN JOHNSON | O.D. | 1265484604 |
| DR. CINDY L ELLENBECKER | OD | 1134167703 |
| ROY LAVERN CLAPPER | OD | 1104934686 |
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.