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Individual
DR. ERIC MICHAEL LY
Active
Individual
DR. ERIC MICHAEL LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P25296
MD
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101260063
VA
Other
Enumeration date
05/11/2010
Last updated
06/01/2017
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