SHAWN CHARLES LIES

OAKLAND, CA
NPI1578796439
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  PA52420)
Enumeration Date2009-08-26
Last Update Date2017-05-11
Business Address
-- SHAWN CHARLES LIES PA
3315 BROADWAY
OAKLAND, CA 94611-5717
Phone number: 510-486-2300
Mailing Address
-- SHAWN CHARLES LIES PA
200 PORTER DR 215
SAN RAMON, CA 94583-1587
Phone number: 925-362-2166
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