Individual
DR. DAVID C LIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 W BRAMBLETON AVE, NORFOLK, VA 23510-1005
(757) 446-5908
(757) 446-7055
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5908
(757) 446-7055
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101240097
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-033
TRICARE/CHAMPUS
VA
01
—
10049927
OPTIMA HEALTH
VA
05
—
1629286059
—
VA
01
—
375479
ANTHEM BC/BS
VA
05
—
5912843
—
NC
01
—
PAR
CORVEL/CORCARE
VA
Enumeration date
05/18/2007
Last updated
10/15/2013
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