Nguyen Ly OD

NPI 1023172020 - Optometrist - 152W00000X

NPI Details
NPI 1023172020
Gender Male
Enumeration Date 12/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
BEL AIR MD, 21014, US
Phone (410) 838-1188
Fax (410) 838-4629
Business Location
11103 WEST AVE
SAN ANTONIO TX, 78213-1370, US
Phone (210) 524-6509
Fax (210) 524-6587
Taxonomy Code 152W00000X
License State Maryland
License Number TA1680
Remove 1023172020 NPI Number

According to our database, Nguyen Ly OD NPI is 1023172020, taxonomy code is 152W00000X and license number is TA1680, license state is located at Maryland. Nguyen Ly OD physically located at 659 Bel Air Road, Bel Air MD, 21014. NPI Number Nguyen Ly OD has the Individual type.

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1023172020 NPI number is provided on an as is basis without warranty of any kind. 1023172020 is maintained by the National Plan & Provider Enumeration System. The contents of Nguyen Ly OD are for informational purposes only.