Healthcare Provider Details

I. General information

NPI: 1720786254
Provider Name (Legal Business Name): MRS. LIANA LEE-HARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2023
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W CENTER ST APT C4
WEST BRIDGEWATER MA
02379-1642
US

IV. Provider business mailing address

PO BOX 16008
PITTSBURGH PA
15242-0008
US

V. Phone/Fax

Practice location:
  • Phone: 603-498-9478
  • Fax:
Mailing address:
  • Phone: 412-929-0249
  • Fax: 412-920-5861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN05105
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2260518
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2250618
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: