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Individual

CAROL S LIESER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
4425 W AIRPORT FWY, STE 244, IRVING, TX 75062-5832
(972) 252-2945
(888) 975-2092
Mailing address
4425 W AIRPORT FWY, STE 244, IRVING, TX 75062-5832
(972) 252-2945
(888) 975-2092

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
462622
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
462622
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7262601
AETNA
TX
01
NP7659
BCBS
TX
Enumeration date
06/18/2006
Last updated
02/17/2017
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