MEDICARE: MR. RYAN MICHAEL LEY M.D.

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
1	207P00000X	Emergency Medicine Physician	W2643	TX
2	2084P0804X	Child & Adolescent Psychiatry Physician	A98605	CA
3	2084P0800X	Psychiatry Physician	12750	NV
4	207P00000X	Emergency Medicine Physician	12750	NV
5	2084P0800X	Psychiatry Physician	A98605	CA
6	2084P0804X	Child & Adolescent Psychiatry Physician	12750	NV
7	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	12750	NV
8	207P00000X	Emergency Medicine Physician	A98605	CA
9	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	W2643	TX
10	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	A98605	CA

General Provider Information

NPI Number	:	1073637203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RYAN MICHAEL LEY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 8038
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89507-8038
Country	:	US
Telephone Number	:	619-268-1274
Fax Number	:	888-971-2243

Provider Business Practice Location Address
First Line	:	713 BALZAR CIR
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-2616
Country	:	US
Telephone Number	:	619-268-1274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	03/23/2026

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