Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN J LIESKE, PA-C
ActiveRYAN J LIESKE, PA-C is a Physician Assistant healthcare provider located in RAVENNA, Nebraska. NPI 1821040536 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RAVENNA, NE
Registration Details
- NPI Number
- 1821040536
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2006 (20.266346780087 yrs)
- Last Updated
- May 5, 2010
- License
-
767 (NE)
Practice Information
- Address
-
104 W SENECA STRAVENNA, NE, 688691363Browse NE providers · Browse ZIP 68869
- Phone
- 3084523203
- Fax
- 3084523795
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.