Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEVAN LY
Active Sole ProprietorBEVAN LY is a Radiation Oncology healthcare provider located in WESTON, Wisconsin. NPI 1730405143 is currently active in the NPPES registry. Verify at CMS.
Radiation Oncology · WESTON, WI
Registration Details
- NPI Number
- 1730405143
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2010 (16.379750760323 yrs)
- Last Updated
- Mar 30, 2021
- Licenses
-
19198 (HI)6435320 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3501 CRANBERRY BLVDWESTON, WI, 544765213Browse WI providers · Browse ZIP 54476
- Phone
- 7153931000
- Primary Specialty
-
Radiation Oncology
2085R0001X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Radiation Oncology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.