Individual
GWENDOLYN Z LIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 451-6682
Mailing address
900 5TH AVE S UNIT 100, EDMONDS, WA 98020-4036
(206) 660-0395
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
121743
AK
208000000X
Pediatrics Physician
60469767
WA
Other
Enumeration date
04/04/2014
Last updated
07/21/2022
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