Individual
EMILY S LIEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
136 N THIRD ST, LOMPOC, CA 93436-7002
(805) 736-1253
Mailing address
1515 E OCEAN AVE, LOMPOC, CA 93436-7092
(805) 737-3322
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
07/20/2022
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