Individual provider · Type 1 NPI
Peter N. Ly, DPM
Foot Surgery Podiatrist · Peoria, IL
NPI number
1447254396
Active
Practice location
7717 N. Orange Prairie Road
Peoria, IL 61615
Fax (309) 589-6994
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | E3804 (CA) |
Foot Surgery Podiatrist: Definition to come...
Other foot surgery podiatrist providers in Peoria
About NPI 1447254396
Peter N. Ly, DPM's National Provider Identifier is 1447254396, issued on Jun 9, 2005. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Peoria, IL. The record was last updated on Mar 27, 2013.