Lawrence G Leibert, MD | |
2031 Peach St, Wisconsin Rapids, WI 54494-5181 | |
(715) 423-0122 | |
Not Available |
Full Name | Lawrence G Leibert |
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Gender | Male |
Speciality | Pediatrics |
Location | 2031 Peach St, Wisconsin Rapids, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851303143 | NPI | - | NPPES |
32270600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 38250 (Wisconsin) | Primary |
Entity Name | Aspirus Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669595294 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
Entity Name | Aspirus Riverview Hospital & Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295754844 PECOS PAC ID: 4587658182 Enrollment ID: O20040414000945 |
Mailing Address | Practice Location Address |
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Lawrence G Leibert, MD 2031 Peach St, Wisconsin Rapids, WI 54494-5181 Ph: (715) 423-0122 | Lawrence G Leibert, MD 2031 Peach St, Wisconsin Rapids, WI 54494-5181 Ph: (715) 423-0122 |
Dr. Amy Elizabeth Falk, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 | |
Eva T Matanguihan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 | |
Regis R Chamberlin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 |