Doctor Name: | SUTEK N. LIE |
NPI Number: | 1912931999 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35-033266 |
Business Practice Address: | 11100 Euclid Ave Cleveland, OH - 441061716 |
Business Phone Number: | 2168441700 |
Business Fax Number: | |
Mailing Address: | 24701 Euclid Ave, 3rd Floor EUCLID |
State: | OH |
Postal Code: | 441171714 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 10/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 35-033266 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |