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Individual

MR. ROBERT D. LEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
285 LUPINE VALLEY RD, APTOS, CA 95003-9749
(831) 688-8268
(831) 688-2485
Mailing address
285 LUPINE VALLEY RD, APTOS, CA 95003-9749
(831) 688-8268
(831) 688-2485

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
00G330750
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G330750
BLUE SHIELD PROV ID
CA
05
00G330750
CA
01
P00643018
RAILROAD MEDICARE
Enumeration date
11/15/2006
Last updated
02/06/2009
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