Individual
DESIREE A LIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UCI MEDICAL CENTER, 101 THE CITY DRIVE SOUTH, ORANGE, CA 92868
(714) 456-8978
Mailing address
PRIMARY CARE MEDICAL GROUP, PO BOX 513620, LOS ANGELES, CA 90051-3620
(714) 456-6369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
000000A48196
CA
Other
Enumeration date
10/16/2006
Last updated
02/28/2008
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