Individual
DR. JUSTIN Q. LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Mailing address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
244268
NY
2085R0202X
Diagnostic Radiology Physician
Primary
A90777
CA
2085R0202X
Diagnostic Radiology Physician
MD210002606
DC
Other
Enumeration date
12/22/2005
Last updated
06/20/2025
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