Individual
MS. GAIL LORETTA LIEBLANG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4505 FAIR MEADOWS LN, BLUE RIDGE PLAZA SUITE 204 (UNC CLINICAL RESEARCH ), RALEIGH, NC 27607-6465
(919) 788-5335
(919) 788-5336
Mailing address
1310 ECOLA VALLEY CT, WAKE FOREST, NC 27587-4915
(919) 554-3794
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200680
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZF0000133
—
NC
Enumeration date
08/22/2005
Last updated
07/09/2007
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