Female

Gwendolyn Z. Lieb M.D.

Pediatrics Physician in Fairbanks, AK(View on Map)

Full Name

Gwendolyn Z Lieb M.D.

NPI Number

1750709978

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/04/2014

Specialties

(Taxonomies)

Code

208000000X

Primary Taxonomy

Yes

Licenses

State

Alaska
Washington

License Number

121743
60469767

Contact
Information

Purpose

Mailing
Location

Address

900 5TH AVE S UNIT 100
1717 W COWLES ST

City

Edmonds
Fairbanks

State

WA
AK

Postal Code

98020-4036
99701-5926

Country

US
US

Telephone Number

(206) 660-0395
(907) 451-6682

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/21/2022

Provider Address

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