LAURA LIEDLE
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1689373326- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 16 GOULD AVE UNIT 1, MALDEN, MA, 021486913
- Phone
- (858) 245-5987
Specialties & Taxonomies
Physician Assistant
Primary
All Addresses
MAILING
136 HARRISON AVE # M&V510
BOSTON, MA, 021111817