Individual
CEDIE LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 GUADALUPE ST STE 100, AUSTIN, TX 78705-2858
(512) 599-9510
Mailing address
3110 GUADALUPE ST STE 100, AUSTIN, TX 78705-2858
(512) 599-9510
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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