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Individual

DR. NANCY L LY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1200 N STATE ST, CT-A7D, LOS ANGELES, CA 90033-1029
(323) 226-7556
(323) 226-2657
Mailing address
765 MEDICAL CENTER CT STE 211, CHULA VISTA, CA 91911-6600
(619) 616-2100

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A125595
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113856
SID # 113856
CA
Enumeration date
02/07/2012
Last updated
01/24/2018
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