Dr. Shane A Lieberman
Family Doctor Family Doctor - Hospice and Palliative Medicine
200 Exempla Cir
Lafayette
, Colorado 80026-3370
Dr. Shane A Lieberman
Family Doctor Family Doctor - Hospice and Palliative Medicine
200 Exempla Cir
Lafayette
, Colorado 80026-3370
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About
Features
Specialties
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Shane A Lieberman
- 10350 E Dakota Ave
- Denver, CO
- Zip : 80247-1314
- Phone :
Second Address
- Dr. Shane A Lieberman
- 200 Exempla Cir
- Lafayette, CO
- Zip : 80026-3370
- Phone : (303) 338-4545
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | TL4814 | CO |
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | DR.0055480 | CO |
National Provider Identifier
| NPI | 1295175875 |
|---|---|
| Provider Name | Dr. Shane A Lieberman |
| First Address | Denver, CO 80247-1314 |
| Second Address | Lafayette, CO 80026-3370 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2013 |
| Last Update Date | 13/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 028498 | KAISER COMMERCIAL NUMBER (01) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.