Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35072842L | OH |
N | 207XS0117X | Orthopaedic Spine Surgeon | 036.106531 | IL |
N | 207XS0117X | Orthopaedic Spine Surgeon | 041358 | CT |
N | 207XS0117X | Orthopaedic Spine Surgeon | 2292351 | NY |
N | 207XS0117X | Orthopaedic Spine Surgeon | 4301079354 | MI |
N | 207XS0117X | Orthopaedic Spine Surgeon | A85601 | CA |
N | 207XS0117X | Orthopaedic Spine Surgeon | MD418431 | PA |
N | 207XS0117X | Orthopaedic Spine Surgeon | ME100364 | FL |
N | 207XS0117X | Orthopaedic Spine Surgeon | N5808 | TX |
NPI | 1033173901 |
---|---|
Provider Name | Isador H Lieberman |
First Address | Plano, TX 75093-8171 |
Second Address | Plano, TX 75093-8171 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 10/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2136576 | (05) | OH |
214998101 | (05) | TX |
G74877 | (02) | OH |
TXB104177 | (02) | TX |