Individual
NGUYEN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
659 BEL AIR ROAD, BEL AIR, MD 21014
(410) 838-1188
(410) 838-4629
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6509
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1680
MD
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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