Physician Compare National (NPI:1043248792)

HEALTHCARE PROVIDER: CLIFFORD LALIBERTE DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1043248792
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395879852
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100819000158
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LALIBERTE
	Individual professional last name
Provider First Name	CLIFFORD
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5653 SASHABAW RD
	Group Practice or individual's line 1 address
City	CLARKSTON
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	483463149
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2489223338
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y