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Individual

LIESE PRUITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-4945
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-6201
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10108478-1205
UT
208600000X
Surgery Physician
Primary
C1-0027074
DE

Other

Enumeration date
03/30/2015
Last updated
02/12/2026
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