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NPI Code Detail

MEDICARE: SYLVIE H. LY

MEDICARE: SYLVIE H. LY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1710179213
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYLVIE H. LY
Provider Business Mailing Address
First Line : 1191 CENTRAL BLVD STE A
Second Line :
City : BRENTWOOD
State : CA
Zip : 94513-2253
Country : US
Telephone Number : 925-634-4445
Fax Number : 925-634-6235
Provider Business Practice Location Address
First Line : 1191 CENTRAL BLVD STE A
Second Line :
City : BRENTWOOD
State : CA
Zip : 94513-2253
Country : US
Telephone Number : 925-634-4445
Fax Number : 925-634-6235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2007
Last Update Date : 08/17/2007

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Directions to “ SYLVIE H. LY ” Practice Location

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