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Contact Information

JILL L LIESVELD, MD
200 HAWKINS DR
IOWA CITY, IA52242-1009
 Phone: 319-384-9364
 Fax: 319-384-9362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for JILL L LIESVELD · (Female)

NPI # 1134114804
Status Active
Credentials MD
Entity Individual
Enumeration date 09/19/2005
Last updated 12/12/2007 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 26197
  • IA Medicaid 0162610
  • IA Other 41636 WELLMARK BCBS
Hospital affiliation(s)
  • UNIVERSITY OF IOWA HOSPITAL & CLINICS - (Acute Care)
    200 HAWKINS DRIVE
    IOWA CITY, IA 52242
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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