# MICHELLE W LY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811161870
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 20A10691 | CA | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 0036120302 | IL | Yes |

## Other

- **Enumeration date:** 04/21/2008
- **Last updated:** 11/30/2021