DR. Dustin N Ly, MD

NPI #1710195268 in Saint Cloud, Florida

Provider Information

NPI Number: 1710195268
Entity Type: Individual
Name: DR. Dustin N Ly, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: May 18, 2007
Last Updated: Jan 2, 2014

Practice Location

Address: 4737 OLD CANOE CREEK RD
City: Saint Cloud
State: Florida
ZIP Code: 34769-1400
Phone: (407) 705-3222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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