Liesel C Grentz, D.O.

NPI #1821276130 in Russell Springs, Kentucky

Provider Information

NPI Number: 1821276130
Entity Type: Individual
Name: Liesel C Grentz, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Feb 8, 2008
Last Updated: May 24, 2019

Practice Location

Address: 124 DOWELL RD
City: Russell Springs
State: Kentucky
ZIP Code: 42642-4278
Phone: (270) 866-2440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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