Individual
MISS MARYJANE LUCILLE LIEBLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2401 MANATEE AVE W, BRADENTON, FL 34205-4933
(941) 744-1336
Mailing address
2401 MANATEE AVE W, BRADENTON, FL 34205-4933
(941) 744-1336
(941) 746-3846
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OS12582
FL
207RP1001X
Pulmonary Disease Physician
OS12582
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
OS12582
FL
Other
Enumeration date
07/07/2008
Last updated
03/01/2018
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