Healthcare Provider Details
I. General information
NPI: 1275450942
Provider Name (Legal Business Name): RUIJUAN LIU CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
506 N BROAD ST
LANSDALE PA
19446-2416
US
IV. Provider business mailing address
506 N BROAD ST
LANSDALE PA
19446-2416
US
V. Phone/Fax
- Phone: 610-505-5188
- Fax: 814-205-2483
- Phone: 610-505-5188
- Fax: 814-205-2483
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RUIJUAN
LIU
Title or Position: ACUPUNCTURIST/OWNER
Credential: L.AC., O.M.D.
Phone: 610-505-5188