MEDICARE: JAMIE LIEBER M.S., L.AC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC11516	CA

General Provider Information

NPI Number	:	1275846651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE LIEBER M.S., L.AC

Provider Business Mailing Address
First Line	:	1527 BAKER ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-2908
Country	:	US
Telephone Number	:	415-441-8158
Fax Number	:

Provider Business Practice Location Address
First Line	:	1527 BAKER ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-2908
Country	:	US
Telephone Number	:	415-441-8158
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2010
Last Update Date	:	09/03/2014

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