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MRS. IRENE LIEBENSPERGER-CAVALL
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1407942196
Individual Registrant:MRS. IRENE LIEBENSPERGER-CAVALL
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
208 NORTH BROAD STREET COLUMBIA, NC 27925-9705 US
Tel: 252-796-0689 Fax: 252-796-0690
Tel: 252-796-0689 Fax: 252-796-0690
Contact information for business:
PO BOX 189 COLUMBIA, NC 27925-0189 US
Tel: 252-796-0689 Fax: 252-796-0690
Tel: 252-796-0689 Fax: 252-796-0690
Registration Information:
NPI: 1407942196
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | NC | 61176 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
