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1265445894 NPI number — LISEN LIU MD

NPI Number: 1265445894
Health Care Provider/Practitioner: LISEN LIU MD

Information about “1265445894” NPI (LISEN LIU MD) exists in 1265445894 in HTML format HTML  |  1265445894 in plain Text format TXT  |  1265445894 in PDF (Portable Document Format) PDF  |  1265445894 in an XML format XML  formats.

NPI Number : 1265445894 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265445894",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LIU",
    "FirstName": "LISEN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "13620 38TH AVE 6E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLUSHING",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11354-4232",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-939-2669",
    "MailingAddressFaxNumber": "718-939-2663",
    "FirstLinePracticeLocationAddress": "13625 MAPLE AVE",
    "SecondLinePracticeLocationAddress": "SUITE 201,WISDOM MEDICAL PC",
    "PracticeLocationAddressCityName": "FLUSHING",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11355-3870",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-939-2669",
    "PracticeLocationAddressFaxNumber": "718-939-2663",
    "EnumerationDate": "08/14/2006",
    "LastUpdateDate": "12/16/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RE0101X",
        "TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
        "LicenseNumber": "239854",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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