- Practice location
- 5523 S Eastern Ave, Las Vegas, NV 89119-2312
- Phone
- 702-463-4050
- Fax
- 702-463-7881
- Last updated
- February 1, 2019
Douglas Jason Lieberman is a Nurse Practitioner based in Las Vegas, NV. Douglas Jason Lieberman practices in Las Vegas, NV. The NPI Number for Douglas Jason Lieberman is 1942780382 and holds a License No. 57640 (ID). The current practice location address for Douglas Jason Lieberman is 5523 S Eastern Ave, Las Vegas, NV 89119-2312 and can be reached out via phone at 702-463-4050 and via fax at 702-463-7881.
Provider Profile Details
- NPI Number
- 1942780382
- Provider Name
- Douglas Jason Lieberman
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5523 S Eastern Ave, Las Vegas, NV 89119-2312
- Phone Number
- 702-463-4050
- Fax Number
- 702-463-7881
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 15, 2018
- Last Update Date
- February 1, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5523 S Eastern Ave
Las Vegas, NV 89119-2312 - City
- Las Vegas
- State
- Nevada
- Zip
- 89119-2312
- Phone Number
- 702-463-4050
- Fax Number
- 702-463-7881
Provider Business Mailing Address Details
- Address
- 2260 Early Frost Ave
Henderson, NV 89052-2623 - City
- Henderson
- State
- NV
- Zip
- 89052-2623
- Phone Number
- 702-577-8176
License Information
- License Number (1)
- 57640
- License State (1)
- ID
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- 008028
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner · 363L00000X
- License Number (3)
- 812736
- License State (3)
- NV
- Taxonomy (3)
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Douglas J Lieberman?
The NPI number of Douglas J Lieberman is 1942780382. It was assigned on August 15, 2018 and is currently active in the NPPES registry.
What is the specialty of Douglas J Lieberman?
Douglas J Lieberman is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in ID under license number 57640.
Where does Douglas J Lieberman practice?
The practice location is 5523 S Eastern Ave, Las Vegas, NV 89119-2312. The office can be reached at 702-463-4050 (phone) or 702-463-7881 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942780382 directly on the NPPES registry website.