Provider Demographics
NPI:1992743272
Name:LIED, ALLISON E (MD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:E
Last Name:LIED
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4460 RED BANK RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-2172
Mailing Address - Country:US
Mailing Address - Phone:513-272-1999
Mailing Address - Fax:513-272-0191
Practice Address - Street 1:4460 RED BANK RD
Practice Address - Street 2:SUITE 120
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-2172
Practice Address - Country:US
Practice Address - Phone:513-272-1999
Practice Address - Fax:513-272-0191
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2014-03-24
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Provider Licenses
StateLicense IDTaxonomies
OH350849122080P0204X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2571177Medicaid
OHI28510Medicare UPIN
OH2571177Medicaid
OHLI4156612Medicare PIN