Organization
VAN B. LY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAN B LY OD (OPTOMETRIST)
(360) 357-2544
Entity
Organization
Contact information
Practice address
319 7TH AVE SE, SUITE #101, OLYMPIA, WA 98501-1325
(360) 357-2544
(360) 786-8734
Mailing address
319 7TH AVE SE, SUITE #101, OLYMPIA, WA 98501-1325
(360) 357-2544
(360) 786-8734
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
602832856
WA
Other
Enumeration date
07/10/2008
Last updated
06/01/2010
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