Provider Demographics
NPI:1720268576
Name:LIEPMANN, JULIA CASS (MS, PA-C)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:CASS
Last Name:LIEPMANN
Suffix:
Gender:F
Credentials:MS, PA-C
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:MONNETT
Other - Last Name:CASS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11605 VAUXHALL BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311
Mailing Address - Country:US
Mailing Address - Phone:845-633-0950
Mailing Address - Fax:
Practice Address - Street 1:11605 VAUXHALL BRIDGE DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311
Practice Address - Country:US
Practice Address - Phone:845-633-0950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-09
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012209363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant