DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LY NGUYEN PA

MEDICARE: LY NGUYEN PA
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
1363A00000XPhysician AssistantNC

General Provider Information

NPI Number : 1871450155
Entity Type Code : Individual
Provider Name (Legal Business Name) : LY NGUYEN PA
Provider Business Mailing Address
First Line : 4420 LAKE BOONE TRL
Second Line :
City : RALEIGH
State : NC
Zip : 27607-7505
Country : US
Telephone Number : 919-784-5380
Fax Number : 919-784-5605
Provider Business Practice Location Address
First Line : 4420 LAKE BOONE TRL
Second Line :
City : RALEIGH
State : NC
Zip : 27607-7505
Country : US
Telephone Number : 919-784-5380
Fax Number : 919-784-5605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

Similar Medicare Providers

1639046386 — EMMA RENAY HELMSTETTER
Practice Location Address:
4420 LAKE BOONE TRL
RALEIGH, NC
27607-7505
Practice Phone: 919-784-3100
Practice Fax:
1194729772 — HUGH JUDD GRANT JR. MD
Practice Location Address:
4414 LAKE BOONE TRL , STE 210
RALEIGH, NC
27607-7505
Practice Phone: 919-571-1040
Practice Fax: 919-781-0247
1114922580 — JAMES ARTHUR MONG MD
Practice Location Address:
4414 LAKE BOONE TRL , STE 210
RALEIGH, NC
27607-7505
Practice Phone: 919-571-1040
Practice Fax: 919-781-0247
1477558849 — ANDREA DECSI ROCHE MD
Practice Location Address:
4414 LAKE BOONE TRL , STE 210
RALEIGH, NC
27607-7505
Practice Phone: 919-571-1040
Practice Fax: 919-781-0247
1386649754 — JEAN WHITMORE CARTER MD
Practice Location Address:
4414 LAKE BOONE TRL , STE 210
RALEIGH, NC
27607-7505
Practice Phone: 919-571-1040
Practice Fax: 919-781-0247
1194720565 — ANN MICHELE MARTIN MD
Practice Location Address:
4414 LAKE BOONE TRL , STE 210
RALEIGH, NC
27607-7505
Practice Phone: 919-571-1040
Practice Fax: 919-781-0247

Directions to “ LY NGUYEN PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.