Individual
ANDREW LIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DVM
Contact information
Practice address
820 D ST, SAN RAFAEL, CA 94901-2814
(415) 456-4463
(415) 456-3786
Mailing address
820 D ST, SAN RAFAEL, CA 94901-2814
(415) 456-4463
(415) 456-3786
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
16588
CA
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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