Organization
THERESA H LIETE CNM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY LYNNE DICK (OFFICE MANAGER)
(419) 224-2632
Entity
Organization
Contact information
Practice address
1220 E ELM ST, SUITE 204, LIMA, OH 45804-2898
(419) 224-2632
(419) 222-2731
Mailing address
1220 E ELM ST, SUITE 204, LIMA, OH 45804-2898
(419) 224-2632
(419) 222-2731
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NM04988
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2492128
—
OH
Enumeration date
08/14/2007
Last updated
01/22/2008
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