Larry C Liebhart D.O

NPI 1043203953 - Family Medicine - 207QG0300X

NPI Details
NPI 1043203953
Gender Male
Enumeration Date 08/25/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
6576 CHAPEL RD
MADISON OH, 44057-2116, US
Phone (440) 428-7181
Fax
Business Location
6576 CHAPEL RD
P.O. BOX 159
MADISON OH, 44057-2116, US
Phone (440) 428-7181
Fax
Toxanomy
Taxonomy Code 207QG0300X
License State Ohio
License Number 34002247L
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According to our database, Dr. Larry C Liebhart D.O NPI is 1043203953, taxonomy code is 207QG0300X and license number is 34002247L, license state is located at Ohio. Larry C Liebhart D.O physically located at 6576 Chapel Rd, Madison OH, 44057-2116. NPI Number Larry C Liebhart D.O has the Individual type.

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1043203953 NPI number is provided on an as is basis without warranty of any kind. 1043203953 is maintained by the National Plan & Provider Enumeration System. The contents of Larry C Liebhart D.O are for informational purposes only.