Individual
DR. PETE THOMAS LIETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5688A W BROAD ST, GALLOWAY, OH 43119-8127
(614) 853-2020
Mailing address
3811 STATE ROUTE 705, NEW WESTON, OH 45348-9735
(937) 423-1199
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6217
OH
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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