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1962744417
DERICK L LY
SAN BERNARDINO, CA
NPI
1962744417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA 13326)
Enumeration Date
2013-03-22
Last Update Date
2021-01-25
Business Address
Dr. DERICK L LY D.O., M.S.
303 E VANDERBILT WAY
SAN BERNARDINO, CA 92415-0026
Phone number: 909-252-5149
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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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