Individual
DR. BOB HOLLIS LYPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
544 MAPLE VALLEY DR, FARMINGTON, MO 63640-1981
(573) 760-1300
(573) 760-9686
Mailing address
544 MAPLE VALLEY DR, FARMINGTON, MO 63640-1981
(573) 760-1300
(573) 760-9686
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2528
MO
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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