MICKI N LY MD

Dr MICKI N LY MD is a female medical professional, specializing in Dermatology. She graduated in 1998 from Ohio State University College Of Medicine.

Contact

89 HOOKELE ST
SUITE 101
KAHULUI
HI
967323532

Tel: 8088776526

MICKI N LY MD Information

Npi 1346299435
Pac Id 5294770053
Professional Enrollment Id I20050622000600
Last Name LY
First Name MICKI
Middle Name N
Suffix
Gender F
Credential MD
Medical School Name OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1998
Primary Specialty DERMATOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 89 HOOKELE ST
Line 2 Street Address SUITE 101
Marker Of Address Line 2 Suppression
City KAHULUI
State HI
Zip Code 967323532
Phone Number 8088776526
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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