LISA I LY (NPI# 1124629662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124629662 |
| Entity Type | Individual |
| Full Name | LISA I LY |
| Credential | DC |
| Practice Address |
2133 S Great Southwest Pkwy Ste 505 Grand Prairie TX 75051-3546 |
| Practice Telephone | 9726472400 |
| Practice Fax Number | 9726233400 |
| Mailing Telephone | 7264724009 |
| Mailing Fax Number | 9726233400 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 14518 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CHIROPRACTIC | 14518 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2133 S Great Southwest Pkwy Ste 505, Grand Prairie, TX 750513546 | 9726472400 | 9726233400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202711 | Lisa Ly | Chiropractor | 360 Kiely Blvd Ste 215, San Jose, CA 95129-1300 | 2020-07-16 |
| 1225698566 | Lisa Ly | Urology | 3401 N Broad St, Philadelphia, PA 19140-5189 | 2019-06-18 |
| Street Address |
2133 S GREAT SOUTHWEST PKWY STE 505 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75051-3546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235407479 | Jorge Rene Sanchez | Chiropractor | 2133 S Great Southwest Pkwy Ste 505, Grand Prairie, TX 75051-3546 | 2011-12-02 |
| 1336603257 | Beverly J Owusu-duku | Chiropractor | 2133 S Great Southwest Pkwy Ste 505, Grand Prairie, TX 75051-3546 | 2019-01-24 |
| 1649670514 | Melissa Odette Guerra | Chiropractor | 2133 S Great Southwest Pkwy Ste 505, Grand Prairie, TX 75051-3546 | 2014-08-28 |
| 1598187270 | Ryan Wasilewski | Chiropractor | 2133 S Great Southwest Pkwy Ste 505, Grand Prairie, TX 75051-3546 | 2014-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750940342 | Laura Burdette | Counselor | 2801 Oster Dr., Building A Suite 300, Grand Prairie, TX 75051 | 2019-06-07 |
| 1871087460 | Cam Chau Huynh | Pharmacist | 2615 W Pioneer Pwky Suite 139, Grand Prairie, TX 75051 | 2018-06-18 |
| 1710416060 | Squeece Services LLC | Private Vehicle | 2304 Oak Ln Dr Suite 201, Grand Prairie, TX 75051 | 2017-06-09 |
| 1477000883 | Marshall Anderson | Specialist/Technologist | 101 Gopher Boulevard, Grand Prairie, TX 75051 | 2016-09-01 |
| 1932570934 | By His Grace Housecalls Inc | Nurse Practitioner | 2305 Oak Ln Ste 106, Grand Prairie, TX 75051 | 2015-10-15 |
| 1225453921 | Perfection Housecalls of Texas LLC | Nurse Practitioner | 2755 Furlong Dr, Grand Prairie, TX 75051 | 2014-03-04 |
| 1669619300 | Parker Health Care Services Inc | Nursing Care | 2305 Oak Lane Ste 211, Grand Prairie, TX 75051 | 2009-01-16 |
| 1861639718 | Jacqueline Lanae Fort | Contractor | 842 Pangburn St, Grand Prairie, TX 75051 | 2009-01-14 |
| 1386841625 | Omolara Abitoye | Pediatrics | 688 W Pioneer Pkwy Ste 120, Grand Prairie, TX 75051 | 2007-06-29 |
| 1750584934 | Mai Tram Phan | Dentist | 2100 S Great Sw Pky, Suite #102, Grand Prairie, TX 75051 | 2007-06-06 |
| Find all providers in zip 75051 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831653138 | Ap Injury & Wellness, Pllc | Chiropractor | 2000 S Belt Line Rd Ste 102, Grand Prairie, TX 75051-4157 | 2019-01-31 |
| 1063908390 | Jacob C Hamblen | Chiropractor | 4560 Lake Ridge Pkwy Ste 200, Grand Prairie, TX 75052-1706 | 2018-07-10 |
| 1902288400 | Rueben Mathew Gutierrez | Chiropractor | 3553 Canyon Rd, Grand Prairie, TX 75052-7852 | 2015-06-22 |
| 1235407479 | Jorge Rene Sanchez | Chiropractor | 2133 S Great Southwest Pkwy Ste 505, Grand Prairie, TX 75051-3546 | 2011-12-02 |
| 1992002521 | New Grand Prairie Chiropractic | Chiropractor | 1101 N Carrier Pkwy, Suite E, Grand Prairie, TX 75050-3382 | 2011-02-17 |
| 1336444850 | Charlotte J Watts | Chiropractor | 560 Parkview Dr, Grand Prairie, TX 75052-3168 | 2011-01-13 |
| 1225331747 | Freedom Chiropractic & Wellness Center LLP | Chiropractor | 5115 Lakeridge Pkwy, Suite 170, Grand Prairie, TX 75052-3003 | 2010-12-07 |
| 1194053025 | Smith Chiropractic, Inc. | Chiropractor | 2210 Meadow Lake Dr, Grand Prairie, TX 75050-1719 | 2009-12-04 |
| 1851567374 | Fort Worth Rehab Group, Inc. | Chiropractor | 928 N Belt Line Rd, Suite 200, Grand Prairie, TX 75050-5864 | 2008-05-05 |
| 1891832689 | Sara A Downey | Chiropractor | 638 W Church St, Grand Prairie, TX 75050-5529 | 2007-01-31 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75051 |
Please comment or provide details below to improve the information on LISA I LY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.