DR. Peter N. Ly, DPM

NPI #1447254396 in Peoria, Illinois

Provider Information

NPI Number: 1447254396
Entity Type: Individual
Name: DR. Peter N. Ly, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist - Foot Surgery
Credential: DPM
Enumeration Date: Jun 9, 2005
Last Updated: Mar 27, 2013

Practice Location

Address: 7717 N. ORANGE PRAIRIE ROAD
City: Peoria
State: Illinois
ZIP Code: 61615
Phone: (619) 518-1506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X	Primary

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