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NPI Verification

National Provider Identifier: 1659781516

Bob Allen Ly, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

1400 E KINCAID ST

MOUNT VERNON, WA 982744127

Phone: 360-814-6315

NPI Enumeration Date

April 30, 2014

NPI Number

1659781516

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry