Provider Demographics
NPI:1265590095
Name:LIEF, LAURENCE HOWARD (MD)
Entity type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:HOWARD
Last Name:LIEF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1199 BUSH ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5999
Mailing Address - Country:US
Mailing Address - Phone:415-567-9469
Mailing Address - Fax:415-567-0310
Practice Address - Street 1:1199 BUSH ST
Practice Address - Street 2:SUITE 240
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5999
Practice Address - Country:US
Practice Address - Phone:415-567-9469
Practice Address - Fax:415-567-0310
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGO37686207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0086650Medicaid
CAGR0086650Medicaid
CAZZZ17949ZMedicare ID - Type Unspecified