Shannon Kimberly Lieb DO

NPI 1093966046 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1093966046
Gender Female
Enumeration Date 10/08/2008
Last Updated 10/01/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
950 OCTORARA TRAIL
PARKESBURG PA, 19365-2150, US
Phone (610) 857-6616
Fax
Business Location
950 OCTORARA TRAIL
PARKESBURG PA, 19365-2150, US
Phone (610) 857-6616
Fax
Toxanomy
Taxonomy Code 390200000X
License State Pennsylvania
License Number OT012609
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According to our database, Dr. Shannon Kimberly Lieb DO NPI is 1093966046, taxonomy code is 390200000X and license number is OT012609, license state is located at Pennsylvania. Shannon Kimberly Lieb DO physically located at 950 Octorara Trail, Parkesburg PA, 19365-2150. NPI Number Shannon Kimberly Lieb DO has the Individual type.

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1093966046 NPI number is provided on an as is basis without warranty of any kind. 1093966046 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Kimberly Lieb DO are for informational purposes only.