Provider Demographics
NPI:1528395373
Name:DO, LIEN
Entity Type:Individual
Prefix:
First Name:LIEN
Middle Name:
Last Name:DO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6320 N ELDRIDGE PKWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-3504
Mailing Address - Country:US
Mailing Address - Phone:713-937-9463
Mailing Address - Fax:713-937-9371
Practice Address - Street 1:6320 N ELDRIDGE PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-3504
Practice Address - Country:US
Practice Address - Phone:713-937-9463
Practice Address - Fax:713-937-9371
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42588183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist