Basic Information
| Provider Information | |||||||||
| NPI: | 1306374236 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LIEWEN | ||||||||
| FirstName: | ALISON | ||||||||
| MiddleName: | PAIGE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 277 | ||||||||
| Address2: | |||||||||
| City: | BIEBER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 960090277 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5309999010 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 50 ALAMO AVE | ||||||||
| Address2: | |||||||||
| City: | WEED | ||||||||
| State: | CA | ||||||||
| PostalCode: | 960942352 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5309999050 | ||||||||
| FaxNumber: | 5309382662 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2017 | ||||||||
| LastUpdateDate: | 12/04/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A170692 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.