Provider Demographics
NPI:1114134749
Name:LIU, HONGLI (LAC)
Entity Type:Individual
Prefix:MS
First Name:HONGLI
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1566 QUEBEC CT APT 2
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-4326
Mailing Address - Country:US
Mailing Address - Phone:408-306-5988
Mailing Address - Fax:
Practice Address - Street 1:20956 HOMESTEAD RD STE E
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-0358
Practice Address - Country:US
Practice Address - Phone:408-306-5988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10796171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist