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1790244713
ALEXANDER JAMES LIETZ
HERRIN, IL
NPI
1790244713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: IL 036170520)
Enumeration Date
2019-03-19
Last Update Date
2024-07-25
Business Address
ALEXANDER JAMES LIETZ MD
3314 PATRIOT CT
HERRIN, IL 62948-3782
Phone number: 618-993-1591
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Mailing Address
ALEXANDER JAMES LIETZ MD
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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