Provider Demographics
NPI:1053681320
Name:LAI-YUAN LIU MD
Entity Type:Organization
Organization Name:LAI-YUAN LIU MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:LAI-YUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-545-5353
Mailing Address - Street 1:PO BOX 161652
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33116-1652
Mailing Address - Country:US
Mailing Address - Phone:305-545-5353
Mailing Address - Fax:305-545-5220
Practice Address - Street 1:1321 NW 14TH ST
Practice Address - Street 2:SUITE 602
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1673
Practice Address - Country:US
Practice Address - Phone:305-545-5353
Practice Address - Fax:305-545-5220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty