Individual provider · Type 1 NPI

Maximillian Ly

Student in an Organized Health Care Education/Training Program · Stillwater, OK

NPI number 1114720489 Active

Practice location

1323 W 6th Ave
Stillwater, OK 74074-4306

Call (405) 372-1480 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

71 other providers at this address

Other student in an organized health care education/training program providers in Stillwater

See all in Stillwater →

About NPI 1114720489

Maximillian Ly's National Provider Identifier is 1114720489, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stillwater, OK. The record was last updated on Mar 31, 2025.