Provider Demographics
NPI:1750615332
Name:LIEBMANN, RICHARD (ND)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:LIEBMANN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:HAWI
Mailing Address - State:HI
Mailing Address - Zip Code:96719-0032
Mailing Address - Country:US
Mailing Address - Phone:808-889-0001
Mailing Address - Fax:
Practice Address - Street 1:55-448 HOEA RD.
Practice Address - Street 2:
Practice Address - City:HAWI
Practice Address - State:HI
Practice Address - Zip Code:96719
Practice Address - Country:US
Practice Address - Phone:808-889-0001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIND-51175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath