Lawrence D. Lieber, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036076570 Issued in IL

Practice address

4115 Fairview Ave
Downers Grove, IL 60515-2268

Phone

(630) 968-1881

Fax

(630) 968-3762

NPI assigned

Sep 27, 2005

Last updated

Mar 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lawrence.lieber.1@14863.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elmhurst Memorial Healthcare

  dba Elmhurst Clinic

  • Multi-Specialty Clinic/Center
  • Elmhurst, IL
  • NPI 1457493454
  Medicare reassignment NPD
• Elmhurst Memorial Healthcare

  • Internal Medicine Physician
  • Elmhurst, IL
  • NPI 1497076392
  NPD
• M&M Orthopaedics, LTD.

  • Orthopaedic Surgery Physician
  • Downers Grove, IL
  • NPI 1326035114
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1316933120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 COMMERCE CT",
            "address_2": "SUITE 230",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323698",
            "telephone_number": "630-968-1881",
            "fax_number": "630-245-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 FAIRVIEW AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152268",
            "telephone_number": "630-968-1881",
            "fax_number": "630-968-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBER",
        "first_name": "LAWRENCE",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036076570",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "IL",
            "license": "036076570",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IL",
            "license": "036076570",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036076570",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200013541",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Michael Lewenczuk, DC
• Gretchen Anne Lewis, LCPC
• Toymesia N Lewis, APRN
• Trina L Lewis
• Alan Li, MD
• Life Care EMS LLC
• Lifeline Biosciences LLC
• Lifespace Communities Inc (Oak Trace)
• Lifespace Communities Inc (Lifespace Personal Services)
• Lifespace Communities Inc (Oak Trace)

• Orthopaedic Surgery Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.