Physician Compare National (NPI:1639172844)

HEALTHCARE PROVIDER: MICHAEL 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	1639172844
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4486682481
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050801000524
	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	MICHEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DPM
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1974
	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	10101 W COLONIAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	OCOEE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	347614213
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4075239993
	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