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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN MICHAEL LIESKE, MD, MPH

Active Sole Proprietor

DR. JONATHAN MICHAEL LIESKE, MD, MPH is a Diagnostic Radiology healthcare provider located in CAMP LEJEUNE, North Carolina. NPI 1861469900 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · CAMP LEJEUNE, NC

Registration Details

NPI Number
1861469900
Provider Type
Individual
Gender
Male
NPI Issued
Mar 8, 2006 (20.45367705531 yrs)
Last Updated
Aug 8, 2023
Licenses
0101102522 (VA)
0101102522 (VA)
62256 (VA)
Sole Proprietor
Yes

Practice Information

Address
100 BREWSTER BLVD
NAVAL HOSPITAL
CAMP LEJEUNE, NC, 285542538
Browse NC providers · Browse ZIP 28554
Phone
9104504159
Fax
9104504194
Primary Specialty
Diagnostic Radiology
2085R0202X
Additional Specialty
Occupational Medicine
Additional Specialty
Diagnostic Radiology

Other Diagnostic Radiology Providers in CAMP LEJEUNE, NC

Name Credential NPI
DR. TIMOTHY MATTISON DO 1912977125
CHARLES L EGAN D.O. 1952371460
JAMES J MUCCIARONE M.D. 1215907597
DR. AARON M TAYLOR M.D. 1386612745
DR. KRISTIN MARY WEHRUNG M.D. 1295780948
DR. GREGORY JAMES HALL MD 1891858585
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.