# MARK J LIEFFRING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245325703
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1532 | MN | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 11/15/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 055527400 | — | MN |
| 01 | — | 230492 | ACN ID | MN |
| 01 | — | 61950LI | BCBS ID | MN |