David Lieburn, O.D

NPI 1740271782 · on the registry since 2005

Practice

Address: 2585 Lineville Rd
Green Bay, WI 54313
Phone: (920) 662-9450
Fax: (920) 662-1912
Organisation at this address: Shopko Stores Operating Co Llc
Shopko Stores Operating Co. Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin