Provider Demographics
NPI:1134391212
Name:DAO, LIEN THI (DC)
Entity type:Individual
Prefix:DR
First Name:LIEN
Middle Name:THI
Last Name:DAO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4842 E KINGS CANYON RD
Mailing Address - Street 2:STE. 103
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-3837
Mailing Address - Country:US
Mailing Address - Phone:559-255-7121
Mailing Address - Fax:559-255-7120
Practice Address - Street 1:4842 E KINGS CANYON RD
Practice Address - Street 2:STE. 103
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-3837
Practice Address - Country:US
Practice Address - Phone:559-255-7121
Practice Address - Fax:559-255-7120
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 27737111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor