Individual
LAWRENCE ARTHUR LIEBSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1731 W RIDGEWAY AVE, STE 101, WATERLOO, IA 50701-4543
(319) 833-6001
(319) 833-6003
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 833-6001
(319) 833-6003
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22095
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035550
—
IA
01
—
42141730796
JOHN DEERE HEALTH INS PLA
IA
01
—
56256
WELLMARK INS PLAN
IA
Enumeration date
05/26/2006
Last updated
02/04/2022
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