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NPI Code Detail

MEDICARE: DR. LAWRENCE LIEBERMAN DDS

MEDICARE:  DR. LAWRENCE  LIEBERMAN  DDS
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
11223G0001XGeneral Practice Dentistry9661FL

General Provider Information

NPI Number : 1740377514
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE LIEBERMAN DDS
Provider Business Mailing Address
First Line : 10 WILLOWWOOD LN
Second Line :
City : OLDSMAR
State : FL
Zip : 34677-2058
Country : US
Telephone Number : 727-785-8017
Fax Number :
Provider Business Practice Location Address
First Line : 35691 US 19 N
Second Line :
City : PALM HARBOR
State : FL
Zip : 34684-1739
Country : US
Telephone Number : 727-785-8017
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 09/21/2018

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Directions to “ DR. LAWRENCE LIEBERMAN DDS” Practice Location

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