Individual
MICHELLE W LY
Active
Individual
MICHELLE W LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A10691
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0036120302
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A10691
MEDICAL LICENSE
CA
Enumeration date
04/21/2008
Last updated
11/30/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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