Individual
HILLIS LYNN WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2620 HURLEY WAY, STE A, SACRAMENTO, CA 95864-3789
(916) 929-1838
(916) 929-1753
Mailing address
2620 HURLEY WAY, STE A, SACRAMENTO, CA 95864-3789
(916) 453-1111
(916) 483-4506
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G030438
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G304380
—
CA
Enumeration date
09/07/2006
Last updated
09/11/2017
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