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NPI Code Detail

MEDICARE: ELIZABETH J LIAN M.A.

MEDICARE: ELIZABETH J LIAN M.A.
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
1235Z00000XSpeech-Language PathologistSA 11240FL
2235Z00000XSpeech-Language Pathologist2017016066MO

General Provider Information

NPI Number : 1609180793
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH J LIAN M.A.
Provider Business Mailing Address
First Line : 3488 JEFFCO BLVD STE 102
Second Line :
City : ARNOLD
State : MO
Zip : 63010-6015
Country : US
Telephone Number : 636-464-5439
Fax Number :
Provider Business Practice Location Address
First Line : 3488 JEFFCO BLVD STE 102
Second Line :
City : ARNOLD
State : MO
Zip : 63010-6015
Country : US
Telephone Number : 636-464-5439
Fax Number : 636-464-5438
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2010
Last Update Date : 07/21/2022

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Directions to “ ELIZABETH J LIAN M.A.” Practice Location

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