Provider Demographics
NPI:1265878722
Name:LIU, LIN (MD/PHD)
Entity type:Individual
Prefix:DR
First Name:LIN
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:MD/PHD
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Mailing Address - Street 1:1161 21ST AVE S
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY, MICROBIOLOGY AND IMMUNOLOGY
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-2561
Mailing Address - Country:US
Mailing Address - Phone:615-343-4882
Mailing Address - Fax:615-343-7023
Practice Address - Street 1:1161 21ST AVE S
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY, MICROBIOLOGY AND IMMUNOLOGY
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-2561
Practice Address - Country:US
Practice Address - Phone:615-343-4882
Practice Address - Fax:615-343-7023
Is Sole Proprietor?:No
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD448403207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology