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Individual

DR. DANIEL JAMES LIEBERTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5209 LAKE WASHINGTON BLVD NE, STE 115, KIRKLAND, WA 98033-7355
(425) 822-0300
(425) 822-4999
Mailing address
5209 LAKE WASHINGTON BLVD NE, STE 115, KIRKLAND, WA 98033-7355
(425) 822-0300
(425) 822-4999

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
073020
GA
207YS0123X
Facial Plastic Surgery Physician
Primary
60671191
WA

Other

Enumeration date
07/06/2010
Last updated
10/07/2022
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