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NPI Code Detail

MEDICARE: DALTON LIERZ

MEDICARE:   DALTON  LIERZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist1-109838KS

General Provider Information

NPI Number : 1568017580
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALTON LIERZ
Provider Business Mailing Address
First Line : 209 W 2ND ST
Second Line :
City : MINNEAPOLIS
State : KS
Zip : 67467-2311
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 209 W 2ND ST
Second Line :
City : MINNEAPOLIS
State : KS
Zip : 67467-2311
Country : US
Telephone Number : 785-392-2213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2019
Last Update Date : 08/06/2019

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Directions to “ DALTON LIERZ ” Practice Location

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