Individual
JILL LIEBNAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2409 CHERRY ST, #305, TOLEDO, OH 43608
(419) 251-3740
(419) 251-3859
Mailing address
8089 SUNDON DR, LAMBERTVILLE, MI 48144-9717
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
192851
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2085952
—
OH
Enumeration date
06/07/2006
Last updated
05/16/2008
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