Individual
DR. LORNIE JAMES PHILLIPS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1411 E 31ST ST, QIC 22134, OAKLAND, CA 94602-1018
(510) 437-4089
(510) 437-5017
Mailing address
1411 E 31ST ST, QIC 22134, OAKLAND, CA 94602-1018
(510) 437-4089
(510) 437-5017
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A91829
CA
Other
Enumeration date
06/16/2008
Last updated
03/19/2014
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