Individual
DR. TERRY LIEFDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 557-5855
(719) 557-5097
Mailing address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 557-5872
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TL.0010310
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
05/02/2024
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