Individual
JANE E LIEDTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4420 BURLINGTON PL NW, WASHINGTON, DC 20016-4422
(202) 641-1106
Mailing address
4420 BURLINGTON PL NW, WASHINGTON, DC 20016-4422
(202) 641-1106
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD000020331
DC
Other
Enumeration date
12/13/2006
Last updated
07/29/2016
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