Provider Demographics
NPI:1760973226
Name:LIEU ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:LIEU ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:HUNG
Authorized Official - Middle Name:TRIEU
Authorized Official - Last Name:LIEU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:651-983-7412
Mailing Address - Street 1:7782 UPPER 23RD ST N
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-5135
Mailing Address - Country:US
Mailing Address - Phone:651-983-7412
Mailing Address - Fax:
Practice Address - Street 1:1810 CREST VIEW DR STE 4A
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-9317
Practice Address - Country:US
Practice Address - Phone:651-983-7412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1540171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty