Most Relevant Information
Provider Data
| NPI Number: | 1003815291 |
| Provider Name: | JAMES G LIESEN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 2101 |
Most Important Dates
| Enumeration Date: | 07/19/2005 |
| Last Updated: | 02/23/2017 |
Provider Practice Location
1195 N OAKLAND AVE
SUITE 2
BOLIVAR
MO
656138095
Practice Location Phone/Fax
| Phone: | 4177772121 |
| Fax: | 4177772854 |
Provider Mailing Location
1500 N OAKLAND AVE
BOLIVAR
MO
656133011
Provider Mailing Phone/Fax
| Phone: | 4173286501 |
| Fax: | 4173286338 |
Suggested EMR
Pediatrics EMR