Dr. Viseth Jonathan Lieu, DPM
Podiatrist, Foot & Ankle Surgery in Danville, IL. Individual provider (NPI-1).
NPI number1720193014
StatusActive
Last updated in NPPESJul 9, 2013
Details
- NPI
- 1720193014
- Entity type
- Individual (NPI-1)
- Name
- Dr. Viseth Jonathan Lieu
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2006
- Last updated
- Jul 9, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 016-005155 | IL | Yes |
Practice location
1900 E Main StDanville, IL 61832-5100
Phone 217-554-3000
Mailing address
1900 E Main StDanville, IL 61832-5100
Phone 217-554-3000
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