Provider Demographics
NPI:1518288307
Name:LIU, NA (MD)
Entity Type:Individual
Prefix:
First Name:NA
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:33 CROSS HILL RD
Mailing Address - Street 2:
Mailing Address - City:CAPE ELIZ
Mailing Address - State:ME
Mailing Address - Zip Code:04107-5108
Mailing Address - Country:US
Mailing Address - Phone:512-217-7311
Mailing Address - Fax:
Practice Address - Street 1:93 CAMPUS AVE
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6030
Practice Address - Country:US
Practice Address - Phone:207-777-4420
Practice Address - Fax:207-777-4430
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MEEL151019207RH0003X
MEMD20728207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology