Lisha Lynne Wilson, MD

NPI #1003809765 in Oakland, California

Provider Information

NPI Number: 1003809765
Entity Type: Individual
Name: Lisha Lynne Wilson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 29, 2005
Last Updated: Aug 9, 2016

Practice Location

Address: 400 29TH ST
Address 2: STE 501
City: Oakland
State: California
ZIP Code: 94609-3550
Phone: (510) 268-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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