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Lisa I Ly, DC
Chiropractor in Grand Prairie, Texas
NPI 1124629662

Lisa I Ly is a Chiropractor based in Grand Prairie, TX. Lisa I Ly practices in Grand Prairie, TX and has the professional credentials of DC. The NPI Number for Lisa I Ly is 1124629662 and holds a License No. 14518 (Texas).

The current practice location address for Lisa I Ly is 2133 S Great Southwest Pkwy Ste 505, Grand Prairie, TX and can be reached out via phone at 972-647-2400 and via fax at 972-623-3400.

Location: 2133 S Great Southwest Pkwy Ste 505, Grand Prairie, TX, 75051-3546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124629662
Provider Name
Lisa I Ly
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
2133 S Great Southwest Pkwy Ste 505, Grand Prairie, TX, 75051-3546
Phone Number
972-647-2400
Fax Number
972-623-3400
Provider Enumeration Date
11/02/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14518 01 TX CHIROPRACTIC
institution
Provider Business Practice Location Address Details
Address
2133 S Great Southwest Pkwy Ste 505
City
Grand Prairie
State
Texas
Zip
75051-3546
Phone Number
972-647-2400
Fax Number
972-623-3400
person
Provider Business Mailing Address Details
Address
2133 S Great Southwest Pkwy Ste 505
City
Grand Prairie
State
Texas
Zip
75051-3546
Phone Number
972-647-2400
Fax Number
972-623-3400
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
14518 (Texas)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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