Individual
LIEZL MALIBIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
8386 RALEIGH PL, CONCORD TWP, OH 44077-8546
(440) 709-6028
(440) 709-6303
Mailing address
PO BOX 5076, MENTOR, OH 44061-5076
(440) 350-4747
(440) 350-4747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP09561
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099265
—
OH
Enumeration date
11/19/2007
Last updated
04/24/2014
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