Individual
ELICIA A LIEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4733 W MONTANA ST, MILWAUKEE, WI 53219-3375
(414) 702-9488
Mailing address
4733 W MONTANA ST, MILWAUKEE, WI 53219-3375
(414) 702-9488
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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