Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gwendolyn Z Lieb, MD

Individual provider Pediatrics Physician · NPI 1750709978

Gwendolyn Z Lieb, MD is a Pediatric Medicine in Fairbanks, Alaska. Graduated from University of Washington School of Medicine in 2014, 12 years ago. Practices with Tanana Valley Clinic LLC, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska and Washington.

Years since qualifying
12
Trained at
University of Washington School of Medicine
Licensed in
AK, WA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1717 W Cowles St
Fairbanks, AK 99701-5926
Phone: (907) 451-6682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4800 Sand Point Way Ne, Seattle, WA 98105-3901 — (206) 987-2525

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 121743 (AK)
Pediatrics Physician Taxonomy 208000000X · Licence 60469767 (WA)

Record details

NPI number1750709978
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2014
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Tanana Valley Clinic Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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