Provider Demographics
NPI:1750075461
Name:AUCH, LIANE E
Entity type:Individual
Prefix:MRS
First Name:LIANE
Middle Name:E
Last Name:AUCH
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:LIANE
Other - Middle Name:E
Other - Last Name:CHARBONNEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:55 N STANLEY DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:ND
Mailing Address - Zip Code:58504-9103
Mailing Address - Country:US
Mailing Address - Phone:701-934-4569
Mailing Address - Fax:
Practice Address - Street 1:55 N STANLEY DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:ND
Practice Address - Zip Code:58504-9103
Practice Address - Country:US
Practice Address - Phone:701-934-4569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant