Individual
LINDSAY LIEDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
(574) 647-7477
Mailing address
51692 QUINCE RD, SOUTH BEND, IN 46628-9233
(419) 551-2836
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023385A
IN
Other
Enumeration date
03/16/2017
Last updated
07/29/2026
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