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General NPI Number Information
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NPI Number | 1578589800
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Entity Type | Individual
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Provider Name | ANDREW MICHAEL LIEBER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 4545 E 9TH AVE 260
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City | DENVER
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State | CO
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Zip | 80220-3901
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Country | US
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Telephone | 303-320-7366
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Fax | 303-320-7367
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Provider Business Mailing Address
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Address Line | 1805 SHEA CENTER DR STE 450
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2255
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Country | US
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Telephone | 303-320-7366
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Fax | 303-320-7367
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 33467
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License Number State | CO
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