Individual
DR. SHANE A LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TL4814
CO
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
DR.0055480
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028498
KAISER COMMERCIAL NUMBER
CO
Enumeration date
06/27/2013
Last updated
07/21/2022
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