Lieving, Loree J

Lieving, Loree J is an individual health care provider with primary practice located at 731 E Southlake Blvd Suite 100, Southlake TX 76092-6377. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Lieving, Loree J can be contacted via phone (817) 912-8800.

Contact Information

Primary practice address
731 E Southlake Blvd Suite 100 Southlake TX 76092-6377
Phone: (817) 912-8800
Fax: (817) 912-8810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K7576 Texas

Profile Details

NPI number 1942214556
LBN Legal business name Lieving, Loree J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jun 11th, 2015 - about 9 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 1942214556 NPPES
Texas Other 89075G BCBS
Texas MEDICAID 100720501 BCBS

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