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Individual

DR. ALLAN L LIEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1900 STATE ST, CHESTER, IL 62233-1116
(618) 826-2388
(618) 826-3194
Mailing address
2319 OLD PLANK RD, CHESTER, IL 62233-1153
(618) 826-2388
(618) 826-5139

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3646019
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3646019
IL
Enumeration date
12/08/2005
Last updated
01/05/2012
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