Lovsho Phen

NPI #1215996699 in Portola, California

Provider Information

NPI Number: 1215996699
Entity Type: Individual
Name: Lovsho Phen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Mar 22, 2006
Last Updated: Mar 30, 2011

Practice Location

Address: 500 1ST AVE
City: Portola
State: California
ZIP Code: 96122-9406
Phone: (530) 993-4184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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