Individual
JAMIE LYNN LIEBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDN
Contact information
Practice address
511 FARBER LAKES DR, WILLIAMSVILLE, NY 14221-5779
(716) 815-4143
Mailing address
338 GOUNDRY ST, NORTH TONAWANDA, NY 14120-6113
(716) 536-1546
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011128-01
NY
Other
Enumeration date
06/11/2024
Last updated
04/08/2025
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