Individual
INGER JOHANNE LIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
630 N ARROWLEAF TRL, SISTERS, OR 97759-2610
(541) 549-1318
(541) 588-6002
Mailing address
2055 KIMBALL AVE STE 101, WATERLOO, IA 50702-5047
(319) 272-2112
(319) 272-2107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD203802
OR
207Q00000X
Family Medicine Physician
R-11105
IA
Other
Enumeration date
05/16/2018
Last updated
11/01/2021
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