Individual
SHAWN CHARLES LIES
Active
Individual
SHAWN CHARLES LIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA52420
CA
Other
Enumeration date
08/26/2009
Last updated
05/11/2017
Update your record
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