JILL L LIESVELD

IOWA CITY, IA
NPI1134114804
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0802X Psychiatry & Neurology, Addiction Psychiatry
(Licence: IA  26197)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IA  26197)
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: IA  26197)
Enumeration Date2005-09-19
Last Update Date2007-12-12
Business Address
-- JILL L LIESVELD MD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-384-9364
Mailing Address
-- JILL L LIESVELD MD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-384-9364