Justine B. Ly, MD

NPI #1073190922 in Salt Lake City, Utah

Provider Information

NPI Number: 1073190922
Entity Type: Individual
Name: Justine B. Ly, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Mar 26, 2021
Last Updated: Aug 16, 2022

Practice Location

Address: 375 S CHIPETA WAY STE A
City: Salt Lake City
State: Utah
ZIP Code: 84108-1261
Phone: (801) 587-3411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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