Provider Demographics
NPI:1841604311
Name:DR. HOLLY LIU, LLC
Entity Type:Organization
Organization Name:DR. HOLLY LIU, LLC
Other - Org Name:CHINESE-MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HONG
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, OMD, CMD
Authorized Official - Phone:240-686-8911
Mailing Address - Street 1:9 N ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4218
Mailing Address - Country:US
Mailing Address - Phone:240-686-8911
Mailing Address - Fax:240-686-8933
Practice Address - Street 1:9 N ADAMS ST
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4218
Practice Address - Country:US
Practice Address - Phone:240-686-8911
Practice Address - Fax:240-686-8933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00711171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty