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Individual

DAGMAR I LIEPA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
14407 HAMLIN ST, STE A, VAN NUYS, CA 91401-6200
(818) 904-9008
(818) 994-4491
Mailing address
PO BOX 52, VAN NUYS, CA 91408-0052
(818) 904-9008
(818) 994-4491

Taxonomy

Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
G47889
CA
208D00000X
General Practice Physician
Primary
G47889
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G478891
CA
Enumeration date
01/06/2007
Last updated
03/11/2025
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