Provider Demographics
NPI:1457645970
Name:LIU, ZHONG YANG LINDA (LAC, MSC)
Entity Type:Individual
Prefix:MRS
First Name:ZHONG YANG
Middle Name:LINDA
Last Name:LIU
Suffix:
Gender:F
Credentials:LAC, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1938 N 85TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-1408
Mailing Address - Country:US
Mailing Address - Phone:402-964-2252
Mailing Address - Fax:
Practice Address - Street 1:1938 N 85TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-1408
Practice Address - Country:US
Practice Address - Phone:402-964-2252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE27171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist