Provider Demographics
NPI:1275078552
Name:LIU, ELIZABETH TONG (DO)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:TONG
Last Name:LIU
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:102 WOODMONT BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-5250
Mailing Address - Country:US
Mailing Address - Phone:615-314-5257
Mailing Address - Fax:
Practice Address - Street 1:199 N FLORISSANT RD
Practice Address - Street 2:
Practice Address - City:FERGUSON
Practice Address - State:MO
Practice Address - Zip Code:63135-1976
Practice Address - Country:US
Practice Address - Phone:314-449-9640
Practice Address - Fax:314-949-3437
Is Sole Proprietor?:No
Enumeration Date:2016-12-22
Last Update Date:2023-02-06
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Provider Licenses
StateLicense IDTaxonomies
MO2020037419207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine