Individual
DR. JULIAN GEORGE LIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4077 5TH AVE, SAN DIEGO, CA 92103-2105
(619) 260-7095
Mailing address
4077 5TH AVE, SAN DIEGO, CA 92103-2105
(619) 260-7095
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G77160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G77160
—
CA
05
—
00G771600
—
CA
Enumeration date
08/10/2005
Last updated
03/03/2008
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