Provider Demographics
NPI:1962487868
Name:MCGARRY, LIESCHEN (DC)
Entity Type:Individual
Prefix:DR
First Name:LIESCHEN
Middle Name:
Last Name:MCGARRY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CONVERSE PL
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-2713
Mailing Address - Country:US
Mailing Address - Phone:781-721-3336
Mailing Address - Fax:781-721-3346
Practice Address - Street 1:10 CONVERSE PLACE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-2713
Practice Address - Country:US
Practice Address - Phone:781-721-3336
Practice Address - Fax:781-721-3346
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006-0001104111N00000X
MA2753111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTVN2808Medicare ID - Type Unspecified