Individual
PENNY ANN LIEBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
Mailing address
20820 257TH AVE, LE CLAIRE, IA 52753-9708
(563) 320-0149
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
G161048
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G161048
IA
Other
Enumeration date
10/30/2020
Last updated
04/07/2021
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