Organization
GARY E LIEBSCH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY LIEBSCH MD (PRESIDENT)
(402) 343-8760
Entity
Organization
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124
(402) 343-8760
(402) 343-8765
Mailing address
7710 MERCY RD SUITE 424, OMAHA, NE 68124
(402) 343-8760
(402) 343-8765
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024993500
—
NE
01
—
2000262
AMERICHOICE
NE
01
—
P00031117
RAILROAD MEDICARE
NE
Enumeration date
09/25/2006
Last updated
10/01/2007
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