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Individual

DR. TIMOTHY JOSEPH LIEBERENZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
PO BOX 1082, MERLIN, OR 97532-1082
(541) 279-4792

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4707
OR

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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