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Individual

ROBERT M LIESMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2115 E 7TH ST, SUITE 102, CHARLOTTE, NC 28204-3307
(704) 442-8433
(704) 817-9957
Mailing address
2115 E 7TH ST, SUITE 102, CHARLOTTE, NC 28204-3307
(704) 442-8433
(704) 817-9957

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
356
NC
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
356
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
356
NC
213ES0131X
Foot Surgery Podiatrist
356
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0268L
BCBS
NC
05
8908158
NC
Enumeration date
09/27/2006
Last updated
04/29/2026
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