Provider Demographics
NPI:1932550647
Name:KLIESNER, MEGAN LAWLESS (MD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:LAWLESS
Last Name:KLIESNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:REBECCA
Other - Last Name:LAWLESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:983135 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-3135
Mailing Address - Country:US
Mailing Address - Phone:402-559-7726
Mailing Address - Fax:402-559-6018
Practice Address - Street 1:2741 E LAS VEGAS ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-1594
Practice Address - Country:US
Practice Address - Phone:719-390-2450
Practice Address - Fax:719-390-2462
Is Sole Proprietor?:No
Enumeration Date:2016-06-23
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7813207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology