| NPI | 1134281942 |
|---|---|
| Former Name | LYNBETH JEAN NEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1442DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 2973) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2015-11-04 |