Individual
MRS. JULIA LIENESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 CEDAR ST, OROFINO, ID 83544-9029
(208) 476-5777
(208) 476-5385
Mailing address
PO BOX 267, GRANGEVILLE, ID 83530-0267
(208) 413-4032
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP60474280
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA61662
ID
Other
Enumeration date
06/04/2014
Last updated
01/21/2025
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