person
Shawn Charles Lies, PA
Surgical Physician Assistant in Oakland, California
NPI 1578796439

Shawn Charles Lies is a Surgical Physician Assistant based in San Ramon, CA and is specialized in Surgical. Shawn Charles Lies practices in Oakland, CA and has the professional credentials of PA. The NPI Number for Shawn Charles Lies is 1578796439 and holds a License No. PA52420 (California).

The current practice location address for Shawn Charles Lies is 3315 Broadway, Oakland, CA and can be reached out via phone at 510-486-2300 and via fax at 510-486-2333.

Location: 3315 Broadway, Oakland, CA, 94583-1587
person
Provider Profile Details
NPI Number
1578796439
Provider Name
Shawn Charles Lies
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3315 Broadway, Oakland, CA, 94583-1587
Phone Number
510-486-2300
Fax Number
510-486-2333
Provider Enumeration Date
08/26/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3315 Broadway
City
State
Zip
94611-5717
Phone Number
510-486-2300
Fax Number
510-486-2333
person
Provider Business Mailing Address Details
Address
3315 Broadway
City
State
Zip
94611-5717
Phone Number
510-486-2300
Fax Number
510-486-2333
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA52420 (California)
Definition
Definition to come...
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