Individual
EMILY ELIZABETH LIERMAN
Active
Individual
EMILY ELIZABETH LIERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10001003A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000653779
ANTHEM
IN
01
—
P00895100
R.R. MEDICARE
IN
Enumeration date
07/17/2008
Last updated
10/20/2022
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