Provider Demographics
NPI:1619298825
Name:LIEB, APRIL RAE (PA)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:RAE
Last Name:LIEB
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:R
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:1800 N BLANCHARD ST
Mailing Address - Street 2:SUITE 121
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-4503
Mailing Address - Country:US
Mailing Address - Phone:419-427-0809
Mailing Address - Fax:419-427-2840
Practice Address - Street 1:1800 N BLANCHARD ST
Practice Address - Street 2:SUITE 121
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-4503
Practice Address - Country:US
Practice Address - Phone:419-427-0809
Practice Address - Fax:419-427-2840
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50003080363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant