Active NPI
Lance Lieberman, MD
- Family Medicine Physician
- Clearwater, FL
National Provider Identifier
1902354517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME82195
- Practice address
- 25941 US 19 N
Suite/PO 15212
Clearwater, FL 33763-2013 - Phone
- (727) 422-4262
- NPI assigned
- Sep 13, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME82195 | FL | Primary |
Addresses
Primary practice location
25941 US 19 N
Suite/PO 15212
Clearwater, FL 33763-2013
Mailing address
25941 US 19 N
Suite/PO 15212
Clearwater, FL 33763-2013
Phone (727) 422-4262
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME82195 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1902354517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25941 US 19 N",
"address_2": "SUITE/PO 15212",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337632013",
"telephone_number": "727-422-4262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25941 US 19 N",
"address_2": "SUITE/PO 15212",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337632013",
"telephone_number": "727-422-4262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBERMAN",
"first_name": "LANCE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-13",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME82195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.