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NPI Code Detail

MEDICARE: HILLIS LYNN WARREN M.D.

MEDICARE: HILLIS LYNN WARREN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistG030438CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801999602
Entity Type Code : Individual
Provider Name (Legal Business Name) : HILLIS LYNN WARREN M.D.
Provider Business Mailing Address
First Line : 2620 HURLEY WAY
Second Line : STE A
City : SACRAMENTO
State : CA
Zip : 95864-3789
Country : US
Telephone Number : 916-453-1111
Fax Number : 916-483-4506
Provider Business Practice Location Address
First Line : 2620 HURLEY WAY
Second Line : STE A
City : SACRAMENTO
State : CA
Zip : 95864-3789
Country : US
Telephone Number : 916-929-1838
Fax Number : 916-929-1753
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 09/11/2017

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