| NPI | 1275714412 |
|---|---|
| Former Legal Business Name | LYNN R. PURCELL, O.D., INC |
| Entity Type | Organization |
| Authorized Contact | PHILLIP LYNN PURCELL President 435-257-7436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 111108-9934) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2021-06-08 |