Individual
KATHERINE BIBB LIESEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-5090
(253) 968-1618
Mailing address
MADIGAN ARMY MEDICAL CTR, BLDG 9040 FITZSIMMONS DR, TACOMA, WA 98431-0001
(253) 968-5090
(253) 968-1618
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
7030213
UT
208000000X
Pediatrics Physician
MD60277286
WA
2080P0203X
Pediatric Critical Care Medicine Physician
7030213-1205
UT
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD60277286
WA
208D00000X
General Practice Physician
58945
GA
Other
Enumeration date
05/24/2007
Last updated
04/04/2026
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