| Doctor Name: | DR. ALEXIS F LIESER |
| NPI Number: | 1831426345 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | A108263 |
| Business Practice Address: | 1100 Marshall Way Placerville, CA - 956676533 |
| Business Phone Number: | 5306263682 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1400, BELL FAST |
| State: | ME |
| Postal Code: | 904911400 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2009 |
| NPI Last Update Date: | 05/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A108263 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |