Organization
D&K LIEBOW LLC
Active
Other names
Southern Vermont Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LIEBOW DPM (PRESIDENT)
(802) 254-0202
Entity
Organization
Contact information
Practice address
382 CANAL ST, BRATTLEBORO, VT 05301-6617
(802) 254-0202
(802) 246-1300
Mailing address
PO BOX 910, GREENFIELD, MA 01302-0910
(413) 772-8500
(413) 772-8900
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
056-0000157
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012948
—
VT
Enumeration date
07/21/2006
Last updated
10/04/2010
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