Individual
DR. KRISTI A LIEBAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4010 E LAKE RD, ERIE, PA 16511-1353
(814) 899-3791
(814) 899-0951
Mailing address
4010 E LAKE RD, ERIE, PA 16511-1353
(814) 899-3791
(814) 899-0951
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS030937L
PA
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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