Individual
DR. JERRY JOSEPH LIERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 MEDICAL VILLAGE DR, STE. 177, EDGEWOOD, KY 41017-5401
(859) 331-3353
(859) 331-3326
Mailing address
20 MEDICAL VILLAGE DR, STE 177, EDGEWOOD, KY 41017-5401
(859) 331-3353
(859) 331-3326
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20196
KY
207RC0000X
Cardiovascular Disease Physician
35050795
OH
207RI0011X
Interventional Cardiology Physician
20196
KY
207RI0011X
Interventional Cardiology Physician
35050795
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0626951
—
OH
05
—
64201965
—
KY
01
—
P00912930
RAILROAD MEDICARE
KY
Enumeration date
03/09/2006
Last updated
05/20/2011
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