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NPI Code Detail

MEDICARE: LAWRENCE K LIEF DO

MEDICARE: LAWRENCE K LIEF DO
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
1207Q00000XFamily Medicine Physician34001544OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00089351OTHEROHRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114929080
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE K LIEF DO
Provider Business Mailing Address
First Line : 26908 DETROIT RD
Second Line : SUITE 301
City : WESTLAKE
State : OH
Zip : 44145-2398
Country : US
Telephone Number : 440-617-1823
Fax Number : 440-617-0884
Provider Business Practice Location Address
First Line : 26908 DETROIT RD
Second Line : SUITE 201
City : WESTLAKE
State : OH
Zip : 44145-2398
Country : US
Telephone Number : 440-777-3500
Fax Number : 440-871-6726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 09/06/2016

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