Healthcare Provider Details

I. General information

NPI: 1891759650
Provider Name (Legal Business Name): EMILY YING LIU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 09/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MERRIMACK ST RIVERWALK
LAWRENCE MA
01843-1756
US

IV. Provider business mailing address

500 MERRIMACK ST RIVERWALK
LAWRENCE MA
01843-1756
US

V. Phone/Fax

Practice location:
  • Phone: 978-557-8900
  • Fax: 978-557-8859
Mailing address:
  • Phone: 978-557-8900
  • Fax: 978-557-8859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number228178
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: