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Individual
JASON LY
Active
Individual
JASON LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0102209178
VA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
0102209178
VA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
2026-01173
NC
Other
Enumeration date
03/26/2022
Last updated
03/19/2026
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