BOB ALLEN LY

MOUNT VERNON, WA
NPI1659781516
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: WA  OP61288032)
Additional Taxonomies207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: NV  DO2513)
Enumeration Date2014-04-30
Last Update Date2022-08-02
Business Address
BOB ALLEN LY D.O.
1400 E KINCAID ST
MOUNT VERNON, WA 98274-4127
Phone number: 360-814-6315
Mailing Address
BOB ALLEN LY D.O.
1400 E KINCAID ST
MOUNT VERNON, WA 98274-4127
Phone number: