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Individual
SHELBY R LIES
Active
Individual
SHELBY R LIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
BP1-0038005
TX
Other
Enumeration date
10/18/2010
Last updated
06/22/2016
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