Provider Demographics
NPI:1114929080
Name:LIEF, LAWRENCE K (DO)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:K
Last Name:LIEF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:26908 DETROIT RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2398
Mailing Address - Country:US
Mailing Address - Phone:440-617-1823
Mailing Address - Fax:440-617-0884
Practice Address - Street 1:26908 DETROIT RD
Practice Address - Street 2:SUITE 201
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-2398
Practice Address - Country:US
Practice Address - Phone:440-777-3500
Practice Address - Fax:440-871-6726
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2016-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34001544207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00089351OtherRR MEDICARE
OH0112201Medicaid
OHP00089351OtherRR MEDICARE
OH0014407Medicare PIN
OH0112201Medicaid