Provider Demographics
NPI:1083820922
Name:LIU, LING I (L AC, DIPL AC)
Entity Type:Individual
Prefix:
First Name:LING
Middle Name:
Last Name:LIU
Suffix:I
Gender:F
Credentials:L AC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7826 ORACLE PL
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4026
Mailing Address - Country:US
Mailing Address - Phone:301-706-5038
Mailing Address - Fax:
Practice Address - Street 1:11119 ROCKVILLE PIKE
Practice Address - Street 2:209
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3143
Practice Address - Country:US
Practice Address - Phone:301-706-5038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00935171100000X
VA0121-000120171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist