Ryan J Lieske, PA-C
Ryan J Lieske, PA-C is a Physician Assistant in Ravenna, Nebraska. Qualified in 1997, 29 years ago. Practices with Phelps Memorial Health Center, a 35-clinician group and accepts Medicare assignment. Licensed in Nebraska.
- Years since qualifying
- 29
- Licensed in
- NE
- In the registry since
- 2006
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
104 W Seneca StRavenna, NE 68869-1363
Phone: (308) 452-3203
Fax: (308) 452-3795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 767 (NE) |
|---|
Record details
| NPI number | 1821040536 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | May 17, 2006 |
| Last updated in NPPES | May 5, 2010 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Phelps Memorial Health Center — 35 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Ravenna
-
Jennifer Elizebeth Khaled, PA-C
41541 Carthage Rd, Ravenna, NE 68869-4073 · (531) 218-4184