Individual
JOHN DAVID LIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1708 FALL HILL AVE, SUITE 100, FREDERICKSBURG, VA 22401-3511
(540) 371-1226
(540) 371-2049
Mailing address
1708 FALL HILL AVE, SUITE 100, FREDERICKSBURG, VA 22401-3511
(540) 371-1226
(540) 371-2049
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
0101234782
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00380301
MEDICARE RAILROAD
VA
Enumeration date
05/27/2006
Last updated
11/30/2007
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