Provider Demographics
NPI:1942413349
Name:LIU, LUKE DAOMING (MD)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:DAOMING
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 DEBARR RD. SUITE 240
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508
Mailing Address - Country:US
Mailing Address - Phone:907-339-4650
Mailing Address - Fax:907-339-4694
Practice Address - Street 1:2925 DEBARR RD
Practice Address - Street 2:SUITE D 240
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2959
Practice Address - Country:US
Practice Address - Phone:907-339-4650
Practice Address - Fax:907-339-4694
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA92987207L00000X, 207LP2900X
AKMEDS6555207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABZ551YMedicare PIN
CABZ551ZMedicare PIN
CAP00893184Medicare PIN