Whalio Doctors

NPI 1053977579

Sylvanus Ly, DO

Practitioner Family Medicine Physician Shreveport, LA

Practice location

Address
7925 Youree Dr STE 200, Shreveport, LA 71105-5134
Phone
(318) 212-3610
Fax
(318) 212-3709

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 337049 (LA)

Registry record

NPI
1053977579
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 May 2019
Record last updated
25 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.