Lieberman, Shane A

Lieberman, Shane A is an individual health care provider with primary practice located at 200 Exempla Cir , Lafayette CO 80026-3370. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Lieberman, Shane A can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
200 Exempla Cir Lafayette CO 80026-3370
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TL4814 Colorado
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X DR.0055480 Colorado

Profile Details

NPI number 1295175875
LBN Legal business name Lieberman, Shane A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2013
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295175875 NPPES
Colorado Other 028498 KAISER COMMERCIAL NUMBER

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