Peter N. Ly in Peoria - Foot Surgery

Peter N. Ly - NPI 1447254396

Peter N. Ly is a Foot Surgery in Peoria, Illinois. Peter N. Ly practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Peter N. Ly is 1447254396. The last update date is 2013-03-27.

Peter N. Ly's current location address is 7717 N. Orange Prairie Road, Peoria, Illinois. You can contact this provider via phone number 6195181506 and fax number 3095896994. The mailing address for Peter N. Ly is 7717 N. Orange Prairie Road, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter N. Ly
Address 7717 N. Orange Prairie Road, Peoria, Illinois
Phone Number 6195181506
Fax Number 3095896994
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1447254396
Provider Enumeration Date 2005-06-09
Last Updated Date 2013-03-27

Provider Mailing Address Detail

Address 7717 N. Orange Prairie Road
City Peoria
State Illinois (IL)
Post Code 616150
Phone Number 6195181506
Fax Number 3095896994

Provider's Primary Taxonomy Detail

Speciality Foot Surgery
Taxonomy 213Es0131X
Licence No E3804
Definition:
A doctor of podiatric medicine who specializes in performing foot and ankle surgeries.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000E38040 CA --

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FAQs about Peter N. Ly

What is the Peter N. Ly's unique identification number?

The Peter N. Ly has been assigned the NPI (National Provider Identifier) Number 1447254396 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Peter N. Ly?

The Peter N. Ly is situated at 7717 N. Orange Prairie Road, in the city of Peoria, state of IL, with the zip code 616150.

What is Peter N. Ly's area of expertise and its corresponding taxonomy classification?

The Peter N. Ly's field of specialization is Foot Surgery, and it falls under the taxonomy code 213Es0131X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1447254396 to Peter N. Ly?

The Centers for Medicare & Medicaid Services assigned the 1447254396 to Peter N. Ly on 2005-06-09.

When was the Peter N. Ly's information last updated?

The Peter N. Ly's information was last updated on 2013-03-27.

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