Provider Demographics
NPI:1407145741
Name:LIEBERT, CARA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:ANN
Last Name:LIEBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 PASTEUR DR # H3591
Mailing Address - Street 2:DEPARTMENT OF SURGERY, DIVISION OF GENERAL SURGERY
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:650-725-2181
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR # H3591
Practice Address - Street 2:DEPARTMENT OF SURGERY, DIVISION OF GENERAL SURGERY
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-725-2181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA122082208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery