Organization
LYNLEY E ATWOOD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNLEY E ATWOOD OD (MANAGER)
(618) 377-5221
Entity
Organization
Contact information
Practice address
422 W BETHALTO DR, BETHALTO, IL 62010
(618) 377-5221
Mailing address
422 W BETHALTO DR, BETHALTO, IL 62010-1910
(618) 377-5221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.007313
IL
152W00000X
Optometrist
Primary
046.011008
IL
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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