Healthcare Provider Details

I. General information

NPI: 1083572085
Provider Name (Legal Business Name): DR LIW HEALTH SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4041 POWDER MILL RD STE 310
BELTSVILLE MD
20705-3106
US

IV. Provider business mailing address

4041 POWDER MILL RD STE 310
BELTSVILLE MD
20705-3106
US

V. Phone/Fax

Practice location:
  • Phone: 972-838-7566
  • Fax:
Mailing address:
  • Phone: 972-838-7566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LAUREN IRENE WHITE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 972-838-7566