Individual
DR. SHANNON NICOLE LIEBLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
5625 POPLAR AVE, MEMPHIS, TN 38119-3816
(901) 761-1220
(901) 763-4332
Mailing address
5625 POPLAR AVE, MEMPHIS, TN 38119-3816
(901) 761-1220
(901) 763-4332
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1765
TN
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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