MR. JEFFERY LY, RN
Registered Nurse
Active
Individual
NPI: 1194229310
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | Yes | 46147 (ID) |
Frequently Asked Questions
NPI 1194229310 is the National Provider Identifier for MR. JEFFERY LY, RN, a Registered Nurse provider located in Caldwell, ID. This NPI was enumerated on March 21, 2018.
MR. JEFFERY LY, RN practices at 11961 PHEASANT RUN ST, Caldwell, ID 83605.
Quick Facts
- NPI
- 1194229310
- Type
- Individual
- Enumerated
- Mar 21, 2018
- Last Updated
- Mar 21, 2018
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