Individual
DR. TIFFANY LISA LIEURANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
800 N CARRIAGE PKWY, WICHITA, KS 67208-4508
(316) 858-5800
(316) 858-5868
Mailing address
800 N CARRIAGE PKWY, WICHITA, KS 67208-4508
(316) 858-5800
(316) 858-5868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0533813
KS
207Q00000X
Family Medicine Physician
2006016929
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200612410A
—
KS
Enumeration date
03/25/2009
Last updated
09/10/2009
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