Individual
DANA G LIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2429 S PRAIRIE AVE, PUEBLO, CO 81005-2886
(719) 564-5070
(719) 896-2874
Mailing address
2429 S PRAIRIE AVE, PUEBLO, CO 81005-2886
(719) 564-5070
(719) 896-2874
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.0042677
CO
Other
Enumeration date
11/28/2017
Last updated
06/16/2018
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