Provider Demographics
NPI:1225270606
Name:LIU, LIXIA (MD, PHD)
Entity Type:Individual
Prefix:
First Name:LIXIA
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 ALEXANDER DR.
Mailing Address - Street 2:
Mailing Address - City:RTP
Mailing Address - State:NC
Mailing Address - Zip Code:27709
Mailing Address - Country:US
Mailing Address - Phone:919-361-7700
Mailing Address - Fax:
Practice Address - Street 1:1912 ALEXANDER DR.
Practice Address - Street 2:
Practice Address - City:RTP
Practice Address - State:NC
Practice Address - Zip Code:27709
Practice Address - Country:US
Practice Address - Phone:919-361-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY38647207ZP0102X
NC2005-01063207ZP0102X
SC28585207ZP0102X
VA0101239823207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology