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NPI Code Detail

MEDICARE: SEAN COLIN LIEBSCHER

MEDICARE: SEAN COLIN LIEBSCHER
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
12086S0129XVascular Surgery Physician04-51583KS
2208600000XSurgery Physician04-51583KS

General Provider Information

NPI Number : 1316441264
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN COLIN LIEBSCHER
Provider Business Mailing Address
First Line : 111 COLCHESTER AVE
Second Line : SHEPARDSON 564
City : BURLINGTON
State : VT
Zip : 05401
Country : US
Telephone Number : 802-847-5162
Fax Number :
Provider Business Practice Location Address
First Line : 4000 CAMBRIDGE ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8501
Country : US
Telephone Number : 913-588-1227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2018
Last Update Date : 12/19/2025

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Directions to “ SEAN COLIN LIEBSCHER ” Practice Location

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