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Laura Liedle
Student in an Organized Health Care Education/Training Program in Malden, Massachusetts
NPI 1689373326

Laura Liedle is a Student in an Organized Health Care Education/Training Program based in Malden, MA. Laura Liedle practices in Malden, MA. The NPI Number for Laura Liedle is 1689373326 and holds a License No. (Massachusetts).

The current practice location address for Laura Liedle is 16 Gould Ave Unit 1, Malden, MA and can be reached out via phone at 858-245-5987.

Location: 16 Gould Ave Unit 1, Malden, MA, 02148-6913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689373326
Provider Name
Laura Liedle
Credential
Provider Entity Type
Individual
Gender
Female
Address
16 Gould Ave Unit 1, Malden, MA, 02148-6913
Phone Number
858-245-5987
Fax Number
Provider Enumeration Date
03/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16 Gould Ave Unit 1
City
Malden
State
Massachusetts
Zip
02148-6913
Phone Number
858-245-5987
Fax Number
person
Provider Business Mailing Address Details
Address
16 Gould Ave Unit 1
City
Malden
State
Massachusetts
Zip
02148-6913
Phone Number
858-245-5987
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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