| NPI | 1174975643 |
|---|---|
| Former Name | KAYLEA J. LIPPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003971A) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 2039DT) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2022-07-21 |