Jolene Marie Lies MPAS

NPI 1336322866 - Physician Assistant - 363AM0700X

NPI Details
NPI 1336322866
Gender Female
Enumeration Date 12/06/2007
Last Updated 12/06/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
2201 N BROADWELL AVE
GRAND ISLAND NE, 68803-2153, US
Phone (308) 382-3660
Fax
Business Location
2201 N BROADWELL AVE
GRAND ISLAND NE, 68803-2153, US
Phone
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Nebraska
License Number 672
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According to our database, Mrs. Jolene Marie Lies MPAS NPI is 1336322866, taxonomy code is 363AM0700X and license number is 672, license state is located at Nebraska. Jolene Marie Lies MPAS physically located at 2201 N Broadwell Ave, Grand Island NE, 68803-2153. NPI Number Jolene Marie Lies MPAS has the Individual type.

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1336322866 NPI number is provided on an as is basis without warranty of any kind. 1336322866 is maintained by the National Plan & Provider Enumeration System. The contents of Jolene Marie Lies MPAS are for informational purposes only.