| Patricia Joan Liesen, | |
|
1320 W Main St, Newark, OH 43055-1822 | |
| (220) 564-4912 | |
| (220) 564-4919 |
| Full Name | Patricia Joan Liesen |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1320 W Main St, Newark, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972010783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD6788 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Joan Liesen, 1320 W Main St, Newark, OH 43055-1822 Ph: (220) 564-4912 | Patricia Joan Liesen, 1320 W Main St, Newark, OH 43055-1822 Ph: (220) 564-4912 |
Mrs. Kelsey Danae Hirsch, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 88 Mcmillen Dr, Newark, OH 43055 Phone: 220-564-1898 | |
Tessa Mae Schultz, MFN, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 818 Mandy Ln, Newark, OH 43055 Phone: 740-403-4308 | |
Annmarie Thacker, RDN, LD, CDCES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1865 Tamarack Rd, Newark, OH 43055 Phone: 220-564-4911 Fax: 220-564-4919 |