Individual
DIANE LIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3801 KERN WAY, YAKIMA, WA 98902-6340
(509) 574-3220
(509) 574-3211
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-6175
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00028459
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22850
GROUP HEALTH
—
01
—
61688
L & I
WA
01
—
8127755
CHPW
WA
05
—
8127755
—
WA
01
—
911019392
COMMERCIAL
—
01
—
LI2892
REGENCE
WA
Enumeration date
10/12/2006
Last updated
12/07/2011
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