Individual provider Active NPI

Lawrence Arthur Liebscher, MD

  • Diagnostic Radiology Physician
  • Waterloo, IA
National Provider Identifier
1285680736
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
22095 Issued in IA
Practice address
1731 W Ridgeway Ave
Ste 101
Waterloo, IA 50701-4543
Phone
(319) 833-6001
Fax
(319) 833-6003
NPI assigned
May 26, 2006
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 22095 IA Primary

Addresses

Primary practice location

1731 W Ridgeway Ave
Ste 101
Waterloo, IA 50701-4543

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 833-6001

Other identifiers 3

IdentifierTypeStateIssuer
42141730796OtherIAJOHN DEERE HEALTH INS PLA
1035550MedicaidIA
56256OtherIAWELLMARK INS PLAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lawrence.liebscher@cvms.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22095IAMDDiagnostic Radiology Physician

Interoperability endpoints

  • Direct secure messaging: lawrence.liebscher@cvms.eclinicaldirectplus.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1285680736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-833-6001",
            "fax_number": "319-833-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 W RIDGEWAY AVE",
            "address_2": "STE 101",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014543",
            "telephone_number": "319-833-6001",
            "fax_number": "319-833-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBSCHER",
        "first_name": "LAWRENCE",
        "middle_name": "ARTHUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "22095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH INS PLA",
            "identifier": "42141730796",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035550",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK INS PLAN",
            "identifier": "56256",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lawrence.liebscher@cvms.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CVMS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1731 W Ridgeway Ave",
            "address_2": "Ste 101",
            "city": "Waterloo",
            "state": "IA",
            "country_code": "US",
            "postal_code": "507014543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.