Individual
MRS. DEBORAH E LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2900 S COLLEGE AVE STE 3G, FORT COLLINS, CO 80525-2562
(970) 300-3323
Mailing address
416 SCOTT AVE, FORT COLLINS, CO 80521-2465
(303) 947-9457
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004499
CO
363AM0700X
Medical Physician Assistant
PA.0004499
CO
363AS0400X
Surgical Physician Assistant
PA.0004499
CO
Other
Enumeration date
04/06/2016
Last updated
12/07/2020
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