Individual
DR. LYMAN D COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02432
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157403
BLUE CROSS BLUE SHIELD
MO
01
—
4178654448
VISION SERVICE PLAN
MO
01
—
43141947565803A002
TRI WEST
MO
01
—
AF26850
SPECTERA
MO
01
—
MO2432
EYEMED VISION CARE
MO
Enumeration date
06/07/2006
Last updated
07/09/2007
Update your record
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