Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura Liedle

Individual provider Physician Assistant · NPI 1689373326

Laura Liedle is a Physician Assistant in Malden, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

16 Gould Ave Unit 1
Malden, MA 02148-6913
Phone: (858) 245-5987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1689373326
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 2, 2023
Last updated in NPPESMay 14, 2024
Certification dateApril 11, 2023
Mailing address136 Harrison Ave # M&V510, Boston, MA 02111-1817

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