Individual
ANGELA M. LIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
84 MARGINAL WAY, SUITE 1000, PORTLAND, ME 04101
(207) 774-2445
(207) 523-8598
Mailing address
100 FODEN ROAD, WEST, SUITE 203, SOUTH PORTLAND, ME 04106-2327
(207) 828-0361
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
018443
ME
2084P0800X
Psychiatry Physician
T2005018239
MO
Other
Enumeration date
08/31/2006
Last updated
03/09/2012
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