# MICHAEL D. LIEBERMAN, M.D.,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790097392
- **Authorized official:** DR. MICHAEL DAVID LIEBERMAN MD (OWNER)
- **Authorized official phone:** (703) 660-9333

## Contact information

- **Practice address:** 2729 KING ST, ALEXANDRIA, VA 22302-4008
- **Practice address phone:** (703) 836-8838
- **Mailing address:** 7533 LERIC LN, ALEXANDRIA, VA 22306-2412
- **Mailing address phone:** (703) 660-9333
- **Mailing address fax:** (703) 660-9333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101019492 | VA | Yes |

## Other

- **Enumeration date:** 07/12/2010
- **Last updated:** 12/21/2010