Individual
PAUL LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
670 W FIREWEED LN STE 160, ANCHORAGE, AK 99503-2561
(907) 770-0862
Mailing address
8432 CREEK FRONT DR, CORDOVA, TN 38016-1521
(907) 313-9894
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
121358
AK
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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