Individual
DR. ERINA LIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 TRAEGER AVE STE 310, SAN BRUNO, CA 94066-3048
(415) 757-9494
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A178222
CA
207NP0225X
Pediatric Dermatology Physician
A178222
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A178222
MEDICAL LICENSE
CA
Enumeration date
01/29/2015
Last updated
11/07/2023
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