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Thomas C Ly, MD
Family Medicine Physician in Lake Havasu City, Arizona
NPI 1891007787

Thomas C Ly is a Family Medicine Physician based in Phoenix, AZ. Thomas C Ly practices in Lake Havasu City, AZ and has the professional credentials of MD. The NPI Number for Thomas C Ly is 1891007787 and holds a License No. (Arizona).

The current practice location address for Thomas C Ly is 101 Civic Center Ln, Lake Havasu City, AZ and can be reached out via phone at 928-854-0002 and via fax at 928-453-0885. You can also correspond with Thomas C Ly through the mailing address at 13236 N 7TH ST, PHOENIX, AZ - 85022-5343 (mailing address contact number: 928-854-0002).

Location: 101 Civic Center Ln, Lake Havasu City, AZ, 85022-5343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891007787
Provider Name
Thomas C Ly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 Civic Center Ln, Lake Havasu City, AZ, 85022-5343
Phone Number
928-854-0002
Fax Number
928-453-0885
Provider Enumeration Date
07/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
666099 05 AZ
institution
Provider Business Practice Location Address Details
Address
101 Civic Center Ln
City
Lake Havasu City
State
Arizona
Zip
86403-5607
Phone Number
928-854-0002
Fax Number
928-453-0885
person
Provider Business Mailing Address Details
Address
13236 N 7Th St
City
Phoenix
State
Arizona
Zip
85022-5343
Phone Number
928-854-0002
Fax Number
928-453-0885
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
45537 (Arizona)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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