Laura Liedle
Physician Assistant in Malden, Massachusetts
1689373326- Practice location
- 16 Gould Ave Unit 1, Malden, MA 02148-6913
- Phone
- 858-245-5987
- Fax
- —
- Last updated
- May 14, 2024
Laura Liedle is a Physician Assistant based in Malden, MA. Laura Liedle practices in Malden, MA. The NPI Number for Laura Liedle is 1689373326. The current practice location address for Laura Liedle is 16 Gould Ave Unit 1, Malden, MA 02148-6913 and can be reached out via phone at 858-245-5987.
Provider Profile Details
- NPI Number
- 1689373326
- Provider Name
- Laura Liedle
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 16 Gould Ave Unit 1, Malden, MA 02148-6913
- Phone Number
- 858-245-5987
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 2, 2023
- Last Update Date
- May 14, 2024
- Certification Date
- April 11, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 Gould Ave Unit 1
Malden, MA 02148-6913 - City
- Malden
- State
- Massachusetts
- Zip
- 02148-6913
- Phone Number
- 858-245-5987
Provider Business Mailing Address Details
- Address
- 136 Harrison Ave # M&v510
Boston, MA 02111-1817 - City
- Boston
- State
- MA
- Zip
- 02111-1817
License Information
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Laura Liedle?
The NPI number of Laura Liedle is 1689373326. It was assigned on March 2, 2023 and is currently active in the NPPES registry.
What is the specialty of Laura Liedle?
Laura Liedle is registered under the primary taxonomy Physician Assistant (code 363A00000X).
Where does Laura Liedle practice?
The practice location is 16 Gould Ave Unit 1, Malden, MA 02148-6913. The office can be reached at 858-245-5987 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689373326 directly on the NPPES registry website.