Provider Demographics
NPI:1790065993
Name:LIU, LUCY (LAC, PHD, ND)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:LAC, PHD, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 KELLY DR
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08853-4044
Mailing Address - Country:US
Mailing Address - Phone:908-429-9990
Mailing Address - Fax:908-429-9991
Practice Address - Street 1:475 N BRIDGE ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2153
Practice Address - Country:US
Practice Address - Phone:908-429-9990
Practice Address - Fax:908-429-9991
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ000245171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist