Provider Demographics
NPI:1922388701
Name:LIANG, LUCIA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LUCIA
Middle Name:
Last Name:LIANG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 KINGS HWY
Mailing Address - Street 2:APARTMENT #5C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-1614
Mailing Address - Country:US
Mailing Address - Phone:718-877-4140
Mailing Address - Fax:
Practice Address - Street 1:1517 CORTELYOU RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-5607
Practice Address - Country:US
Practice Address - Phone:718-287-9078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056122183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist