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Organization

DAVID A. LIEB

Active
Parent organization
DAVID A LIEB
Other names
Family Foot Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
DAVID A LIEB
Authorized official
DR. DAVID A LIEB DPM (OWNER)
(301) 695-1010
Entity
Organization

Contact information

Practice address
10 HILLCREST DR, SUITE 25, FREDERICK, MD 21703-6107
(301) 695-1010
(301) 695-1010
Mailing address
10 HILLCREST DR, SUITE 25, FREDERICK, MD 21703-6107
(301) 695-1010
(301) 695-1010

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01104
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
083088700
MD
01
1043496730
FACILITY NPI
MD
Enumeration date
01/14/2008
Last updated
12/10/2009
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