# D&K LIEBOW LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Vermont Podiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184645723
- **Authorized official:** DAVID LIEBOW DPM (PRESIDENT)
- **Authorized official phone:** (802) 254-0202

## Contact information

- **Practice address:** 382 CANAL ST, BRATTLEBORO, VT 05301-6617
- **Practice address phone:** (802) 254-0202
- **Practice address fax:** (802) 246-1300
- **Mailing address:** PO BOX 910, GREENFIELD, MA 01302-0910
- **Mailing address phone:** (413) 772-8500
- **Mailing address fax:** (413) 772-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 056-0000157 | VT | — |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 10/04/2010