Individual
DR. SUSAN LYNN LIDDIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
601 HIGHWAY 6 W, IOWA CITY, IA 52246-2209
(319) 338-0581
Mailing address
444 PINEHURST LN, NORTH LIBERTY, IA 52317-9780
(719) 290-3228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41638-21
WI
207Q00000X
Family Medicine Physician
Primary
4393
IA
Other
Enumeration date
02/13/2006
Last updated
10/08/2013
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