Individual
MISS LISA LYNN LEIBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPSGT
Contact information
Practice address
4364 7TH ST, MOLINE, IL 61265-6867
(309) 762-2998
(309) 762-2919
Mailing address
4364 7TH ST, MOLINE, IL 61265-6867
(309) 762-2998
(309) 762-2919
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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