Individual
DOUGLAS JASON LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5523 S EASTERN AVE, LAS VEGAS, NV 89119-2312
(702) 463-4050
(702) 463-7881
Mailing address
2260 EARLY FROST AVE, HENDERSON, NV 89052-2623
(702) 577-8176
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
008028
CT
363L00000X
Nurse Practitioner
57640
ID
363L00000X
Nurse Practitioner
Primary
812736
NV
Other
Enumeration date
08/15/2018
Last updated
02/01/2019
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