Viseth Jonathan Lieu DPM

NPI 1720193014 - Podiatrist - 213ES0103X

NPI Details
NPI 1720193014
Gender Male
Enumeration Date 08/20/2006
Last Updated 07/09/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1900 E MAIN ST
DANVILLE IL, 61832-5100, US
Phone (217) 554-3000
Fax
Business Location
1900 E MAIN ST
DANVILLE IL, 61832-5100, US
Phone (217) 554-3000
Fax
Toxanomy
Taxonomy Code 213ES0103X
License State Illinois
License Number 016-005155
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According to our database, Dr. Viseth Jonathan Lieu DPM NPI is 1720193014, taxonomy code is 213ES0103X and license number is 016-005155, license state is located at Illinois. Viseth Jonathan Lieu DPM physically located at 1900 E Main St, Danville IL, 61832-5100. NPI Number Viseth Jonathan Lieu DPM has the Individual type.

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1720193014 NPI number is provided on an as is basis without warranty of any kind. 1720193014 is maintained by the National Plan & Provider Enumeration System. The contents of Viseth Jonathan Lieu DPM are for informational purposes only.