Healthcare Provider Details

I. General information

NPI: 1922340314
Provider Name (Legal Business Name): DR. LIANSHENG LIU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2013
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 RESERVOIR AVE STE 11
CRANSTON RI
02910-4447
US

IV. Provider business mailing address

960 RESERVOIR AVE STE 11
CRANSTON RI
02910-4447
US

V. Phone/Fax

Practice location:
  • Phone: 401-332-3860
  • Fax:
Mailing address:
  • Phone: 401-332-3860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberDA00408
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: