Provider Demographics
NPI:1982015723
Name:LIU, HONG (LAC, OMD, CMD)
Entity Type:Individual
Prefix:
First Name:HONG
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:LAC, OMD, CMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:240-489-7888
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:240-489-7888
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00711171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist