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Organization
ROBERT J. LIS D.O. INC.
Active
Organization
ROBERT J. LIS D.O. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J LIS D.O. (PRESIDENT)
(562) 407-2080
Entity
Organization
Contact information
Practice address
35800 BOB HOPE DR, STE 100, RANCHO MIRAGE, CA 92270-1739
(562) 407-2080
(562) 407-2082
Mailing address
PO BOX 4259, CERRITOS, CA 90703-4259
(562) 407-2080
(562) 407-2082
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A6953
CA
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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