Individual
DR. VISETH JONATHAN LIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3000
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3000
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-005155
IL
Other
Enumeration date
08/20/2006
Last updated
07/09/2013
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