Ryan Lieske, PA-C

NPI 1821040536 · on the registry since 2006

Practice

Address: 104 W Seneca St
Ravenna, NE 68869
Phone: (308) 452-3203
Fax: (308) 452-3795
Organisation at this address: First Care Medical, Pc
Ravenna Medical Clinic Pc
Heartland Health Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: NE
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska