Laura Liedle
Physician Assistant · Malden, MA
NPI number
1689373326
Practice location
16 Gould Ave Unit 1Malden, MA 02148-6913
- Phone
- (858) 245-5987
NPI record
- NPI
- 1689373326
- Entity type
- Individual (Type 1)
- Enumeration date
- March 2, 2023
- Last updated
- May 14, 2024
- Certified
- April 11, 2023
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
— | — |
Mailing address
136 Harrison Ave # M&V510Boston, MA 02111-1817
About Laura Liedle
Laura Liedle is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 16 Gould Ave Unit 1, Malden, MA 02148-6913. The NPI number 1689373326 was assigned on March 2, 2023 and the record was last updated on May 14, 2024.
Frequently asked questions
What is the NPI number of Laura Liedle?
The NPI number is 1689373326.
What is the phone number of Laura Liedle?
The phone number listed for the practice location is (858) 245-5987.
Where is Laura Liedle located?
16 Gould Ave Unit 1, Malden, MA 02148-6913.
What is the taxonomy code for Laura Liedle?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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