Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Austin Ly

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265248991

Austin Ly is a Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

611 E Douglas Rd Ste 407
Mishawaka, IN 46545-1468
Phone: (574) 335-6500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1265248991
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 7, 2024
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address1669 Riverside Dr Apt B, South Bend, IN 46616-1637

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