Individual
MRS. MARY ELLEN LIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 E 185TH ST, CLEVELAND, OH 44119-1330
(216) 383-2222
Mailing address
1693 MCCAUSLAND DR, HUDSON, OH 44236-5374
(330) 888-2020
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NP07002
OH
Other
Enumeration date
07/27/2006
Last updated
01/29/2013
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