MEDICARE: DR. LIEN THI DAO DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC 27737	CA

General Provider Information

NPI Number	:	1134391212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LIEN THI DAO DC

Provider Business Mailing Address
First Line	:	4842 E KINGS CANYON RD
Second Line	:	STE. 103
City	:	FRESNO
State	:	CA
Zip	:	93727-3837
Country	:	US
Telephone Number	:	559-255-7121
Fax Number	:	559-255-7120

Provider Business Practice Location Address
First Line	:	4842 E KINGS CANYON RD
Second Line	:	STE. 103
City	:	FRESNO
State	:	CA
Zip	:	93727-3837
Country	:	US
Telephone Number	:	559-255-7121
Fax Number	:	559-255-7120

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2008
Last Update Date	:	03/28/2008

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Directions to “ DR. LIEN THI DAO DC” Practice Location

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