Lawrence D. Lieber
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
4115 Fairview Ave
Downers Grove
, Illinois 60515-2268
Lawrence D. Lieber
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
4115 Fairview Ave
Downers Grove
, Illinois 60515-2268
(630) 245-9098
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Lawrence D. Lieber
- 4300 Commerce Ct Suite 230
- Lisle, IL
- Zip : 60532-3698
- Fax : (630) 245-9098
- Phone : (630) 968-1881
Second Address
- Lawrence D. Lieber
- 4115 Fairview Ave
- Downers Grove, IL
- Zip : 60515-2268
- Fax : (630) 968-3762
- Phone : (630) 968-1881
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 036076570 | IL |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 036076570 | IL |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 036076570 | IL |
National Provider Identifier
| NPI | 1316933120 |
|---|---|
| Provider Name | Lawrence D. Lieber |
| First Address | Lisle, IL 60532-3698 |
| Second Address | Downers Grove, IL 60515-2268 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2005 |
| Last Update Date | 04/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036076570 | (05) | IL |
| 200013541 | RAILROAD MEDICARE (01) | IL |
| C43761 | (02) | IL |
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.