Lieblong, Justin

Lieblong, Justin is an individual health care provider with primary practice located at 123 North Van Buren , Little Rock AR 72205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lieblong, Justin can be contacted via phone (501) 661-0450.

Contact Information

Primary practice address
123 North Van Buren Little Rock AR 72205
Fax: (501) 661-9580
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X E-7491 Arkansas

Profile Details

NPI number 1427215623
LBN Legal business name Lieblong, Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2008
Last updated Jul 9th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427215623 NPPES
Arkansas MEDICAID 118573002

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