Lovsho Phen Valid NPI

Individual provider · Internal Medicine Physician · Portola, CA

NPI

1215996699

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

A43266 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2006-03-22

Last updated

2011-03-30