1285680736 NPI number — LAWRENCE ARTHUR LIEBSCHER MD

Table of content: LAWRENCE ARTHUR LIEBSCHER MD (NPI 1285680736)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285680736 NPI number — LAWRENCE ARTHUR LIEBSCHER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LIEBSCHER
Provider First Name:
LAWRENCE
Provider Middle Name:
ARTHUR
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285680736
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/04/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2758
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WATERLOO
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50704-2758
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-833-6001
Provider Business Mailing Address Fax Number:
319-833-6003

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1731 W RIDGEWAY AVE
Provider Second Line Business Practice Location Address:
STE 101
Provider Business Practice Location Address City Name:
WATERLOO
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50701-4543
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-833-6001
Provider Business Practice Location Address Fax Number:
319-833-6003
Provider Enumeration Date:
05/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  22095 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1035550 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 42141730796 . This is a "JOHN DEERE HEALTH INS PLA" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".
  • Identifier: 56256 . This is a "WELLMARK INS PLAN" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".




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