Provider Demographics
NPI:1518195601
Name:LIU, LEI (MD)
Entity Type:Individual
Prefix:
First Name:LEI
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1901 LEIGHTON AVE
Mailing Address - Street 2:ANNISTON GENERAL SURGERY CENTER
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207
Mailing Address - Country:US
Mailing Address - Phone:256-240-9660
Mailing Address - Fax:256-240-9636
Practice Address - Street 1:1901 LEIGHTON AVE
Practice Address - Street 2:ANNISTON GENERAL SURGERY CENTER
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207
Practice Address - Country:US
Practice Address - Phone:256-240-9660
Practice Address - Fax:256-240-9636
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALMD.34462208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery