| Doctor Name: | CAROL RICKARD LIENERT |
| NPI Number: | 1205157229 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | SP004472B |
| Business Practice Address: | 601 Park St Emergency Department Honesdale, PA - 184311445 |
| Business Phone Number: | 5702538140 |
| Business Fax Number: | |
| Mailing Address: | 38935 Ann Arbor Rd, LIVONIA |
| State: | MI |
| Postal Code: | 481503397 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2010 |
| NPI Last Update Date: | 06/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP004472B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |