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Individual

BRIAN E LIEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
387 THEATRE RD, CARROLLTOWN, PA 15722-7805
(814) 344-8477
(814) 344-2205
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009117L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001692565
PA
Enumeration date
06/14/2005
Last updated
10/18/2016
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