Van B. Ly, LLC

NPI #1154585024 in Olympia, Washington

Provider Information

NPI Number: 1154585024
Entity Type: Organization
Organization Name: Van B. Ly, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Jul 10, 2008
Last Updated: Jun 1, 2010

Practice Location

Address: 319 7TH AVE SE
Address 2: SUITE #101
City: Olympia
State: Washington
ZIP Code: 98501-1325
Phone: (360) 357-2544

Authorized Official

Name: DR. VAN B LY, OD
Title: OPTOMETRIST
Phone: (360) 357-2544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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