Individual
DR. PAUL CONRAD LIEBRECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 HOSPITAL DR, GALAX, VA 24333-2246
(276) 236-8155
(276) 236-8899
Mailing address
333 HOSPITAL DR, GALAX, VA 24333-2246
(276) 236-8155
(276) 236-8899
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101039317
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006496628
—
VI
Enumeration date
09/15/2005
Last updated
07/27/2012
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