MEDICARE: DR. KAREN LIU DDS

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	122300000X	Dentist	2001007168	MO

General Provider Information

NPI Number	:	1497975932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN LIU DDS

Provider Business Mailing Address
First Line	:	5133 S CAMPBELL AVE
Second Line	:	SUITE 202
City	:	SPRINGFIELD
State	:	MO
Zip	:	65810-2406
Country	:	US
Telephone Number	:	417-886-1010
Fax Number	:	417-886-1216

Provider Business Practice Location Address
First Line	:	5133 S CAMPBELL AVE
Second Line	:	SUITE 202
City	:	SPRINGFIELD
State	:	MO
Zip	:	65810-2406
Country	:	US
Telephone Number	:	417-886-1010
Fax Number	:	417-886-1216

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

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	07/08/2007

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