Jack Liebo, M.D.
NPI 1649255464 · Family Medicine Physician · St Louis Park, MN
Jack Liebo, M.D. is a Family Medicine Physician provider in St Louis Park, MN (NPI 1649255464).
Provider details
- NPI number
- 1649255464
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 24488 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-14
- Last updated
- 2012-03-02
Frequently asked questions
- What is Jack Liebo's NPI number?
- Jack Liebo's National Provider Identifier (NPI) is 1649255464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Liebo's specialty?
- Jack Liebo is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Liebo located?
- Jack Liebo's practice location on file with NPPES is 3931 Louisiana Ave S, St Louis Park, MN 55426-4375.
- What is Jack Liebo's phone number?
- The practice phone number listed in the NPPES registry for Jack Liebo is (952) 993-3230.
- Is Jack Liebo's NPI active?
- Yes — Jack Liebo's NPI (1649255464) is active in the NPPES registry as of the last update on 2012-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.