Healthcare Provider Details

I. General information

NPI: 1750737300
Provider Name (Legal Business Name): LINDSY PAIGE LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2016
Last Update Date: 05/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVE NW BB06
WASHINGTON DC
20059-0001
US

IV. Provider business mailing address

106 MICHIGAN AVE NE APT D21
WASHINGTON DC
20017-1028
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-1323
  • Fax:
Mailing address:
  • Phone: 405-919-6798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: