| NPI | 1548674872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS LYMAN O PT Ometrist 509-444-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA OD 00001807) |
| Enumeration Date | 2014-06-14 |
| Last Update Date | 2014-06-14 |