Larry D Lieb, CRNA ARNP is a
Nurse Practitioner based in Lake City, Iowa. Larry D Lieb is licensed to practice in Iowa (license number D-059739) and his current practice location is
1301 W Main St, Lake City, Iowa. He can be reached at his office (for appointments etc.) via phone at
(712) 464-3171.
NPI number for Larry D Lieb is 1972560779 and his current mailing address is 225 W Randall Rd, Carroll, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972560779.
Provider's Profile
| Full Name | Larry D Lieb |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 1301 W Main St, Lake City, Iowa |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972560779
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Larry D Lieb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972560779 | NPI | - | NPPES |
| 5200063 | Other | IA | CSA |
| D-059739 | Other | IA | CRNA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | D-059739 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry D Lieb is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Larry D Lieb, CRNA ARNP
225 W Randall Rd,
Carroll, IA 51401-3601
Ph: (712) 792-1004 | Larry D Lieb, CRNA ARNP
1301 W Main St,
Lake City, IA 51449-1585
Ph: (712) 464-3171 |
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