Healthcare Provider Details

I. General information

NPI: 1457645970
Provider Name (Legal Business Name): ZHONG YANG LINDA LIU L.AC., M.SC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2011
Last Update Date: 06/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1938 N 85TH ST
OMAHA NE
68114-1408
US

IV. Provider business mailing address

1938 N 85TH ST
OMAHA NE
68114-1408
US

V. Phone/Fax

Practice location:
  • Phone: 402-964-2252
  • Fax:
Mailing address:
  • Phone: 402-964-2252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number27
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: