Provider Demographics
NPI:1881740819
Name:VLIET, ELIZABETH LEE (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LEE
Last Name:VLIET
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 64507
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85728-4507
Mailing Address - Country:US
Mailing Address - Phone:520-797-9131
Mailing Address - Fax:520-797-2948
Practice Address - Street 1:2200 E RIVER RD
Practice Address - Street 2:SUITE 104
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6514
Practice Address - Country:US
Practice Address - Phone:520-797-9131
Practice Address - Fax:520-797-2948
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ192052083P0901X
TXJ98392083P0901X
VA01010316652083P0901X
MI05454592083P0901X
MDD00257392083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine