Provider Demographics
NPI:1790048627
Name:NIEMAN, ELIZABETH LEWIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LEWIS
Last Name:NIEMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:410 MARKET ST STE 400
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-4061
Mailing Address - Country:US
Mailing Address - Phone:314-604-7734
Mailing Address - Fax:
Practice Address - Street 1:410 MARKET ST STE 400
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-4061
Practice Address - Country:US
Practice Address - Phone:984-974-3900
Practice Address - Fax:984-974-3692
Is Sole Proprietor?:No
Enumeration Date:2012-06-15
Last Update Date:2021-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2020-02728207NP0225X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology