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Individual

DR. GARY JO LIENHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
11231 LAKE LANIER DR, RIVERVIEW, FL 33569-2935
(727) 230-1576
(727) 230-1604
Mailing address
11231 LAKE LANIER DR, RIVERVIEW, FL 33569-2935
(727) 230-1576
(727) 230-1604

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101015979
MI
207L00000X
Anesthesiology Physician
Primary
OS10592
FL

Other

Enumeration date
05/29/2007
Last updated
11/16/2009
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