Individual
ALEXANDRA LYNN LIETHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9645 GROVE CIR N STE 100, MAPLE GROVE, MN 55369-2682
(763) 302-4114
Mailing address
11050 CEDAR HILLS BLVD APT 323, MINNETONKA, MN 55305-3057
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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