Individual
STEPHANIE LEE LIETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
7370 TURFWAY RD, FLORENCE, KY 41042-4895
(859) 212-0175
(859) 746-7464
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 212-0175
(859) 746-7464
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36004004
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
07001411A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
281873
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2018
Last updated
05/01/2023
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