Individual
CATHY E LIESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3533 SOUTHERN BLVD, STE 4600, KETTERING, OH 45449-1273
(937) 296-0167
(937) 297-2330
Mailing address
3533 SOUTHERN BLVD, STE 4600, KETTERING, OH 45449-1273
(937) 296-0167
(937) 297-2330
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
35051994L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000009392
ANTHEM PIN
—
05
—
0589144
—
OH
Enumeration date
04/28/2006
Last updated
03/07/2023
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