Individual
DR. CHARLES EDWARD LIEBERMAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
101 HIGHWAY 47 E, TROY, MO 63379-3100
(636) 528-8960
(636) 528-8974
Mailing address
23 ROYALLBEND CT, O FALLON, MO 63368-6861
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03256
MO
Other
Enumeration date
08/19/2006
Last updated
11/16/2011
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