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Individual

MR. JOSHUA STEPHEN LIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2610 MARSHCREEK LN, UNIT 102, NAPLES, FL 34119-7949
(239) 596-1930
Mailing address
2610 MARSHCREEK LN, UNIT 102, NAPLES, FL 34119-7949
(239) 596-1930

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106373
FL

Other

Enumeration date
02/06/2012
Last updated
11/27/2013
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