Individual
COURTNIE LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1130 2ND ST, ENCINITAS, CA 92024-5008
(760) 736-6767
Mailing address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(760) 736-6767
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
62218
CA
Other
Enumeration date
01/19/2023
Last updated
12/02/2025
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