PETER N LY, DPM, Surgery, Foot PEORIA, IL

Contact Information

PETER N LY, DPM

7717 N. ORANGE PRAIRIE ROAD
PEORIA, IL 61615

Phone: 619-518-1506
Fax: 309-589-6994
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot	213ES0131X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for PETER N LY · (Male)

NPI Number	`1447254396`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	06/09/2005
Last updated	03/27/2013 - About 13 years ago
Sole proprietor ¹	No
Identifiers	CA License # E3804 CA Medicaid 000E38040
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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PETER N LY, DPM – NPI #1447254396Surgery, Foot

Contact Information

Specialty

Surgery, Foot

NPI Profile & details for PETER N LY · (Male)

Reviews for PETER N LY

PETER N LY, DPM – NPI #1447254396
Surgery, Foot