DERICK L LY

SAN BERNARDINO, CA
NPI1962744417
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  13326)
Enumeration Date2013-03-22
Last Update Date2021-01-25
Business Address
Dr. DERICK L LY D.O., M.S.
303 E VANDERBILT WAY
SAN BERNARDINO, CA 92415-0026
Phone number: 909-252-5149
Mailing Address
Dr. DERICK L LY D.O., M.S.
303 E VANDERBILT WAY
SAN BERNARDINO, CA 92415-0026
Phone number: 909-252-5149
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