Provider Demographics
NPI:1245270958
Name:LIES, JAMES E (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:LIES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:999 ADAMS ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SAINT HELENA
Mailing Address - State:CA
Mailing Address - Zip Code:94574-1148
Mailing Address - Country:US
Mailing Address - Phone:707-963-4997
Mailing Address - Fax:707-963-4990
Practice Address - Street 1:999 ADAMS ST
Practice Address - Street 2:SUITE 106
Practice Address - City:SAINT HELENA
Practice Address - State:CA
Practice Address - Zip Code:94574-1148
Practice Address - Country:US
Practice Address - Phone:707-963-4997
Practice Address - Fax:707-963-4990
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2012-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC325250207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C325250Medicaid
CA00C325250Medicare ID - Type Unspecified
CAA34971Medicare UPIN