Provider Demographics
NPI:1700964491
Name:LIU, DAVIS (MD)
Entity Type:Individual
Prefix:
First Name:DAVIS
Middle Name:
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 1:928 HARRISON ST STE 200
Mailing Address - Street 2:HTTPS://WWW.LEMONAIDHEALTH.COM/
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1009
Mailing Address - Country:US
Mailing Address - Phone:415-926-5818
Mailing Address - Fax:
Practice Address - Street 1:928 HARRISON ST STE 200
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1009
Practice Address - Country:US
Practice Address - Phone:415-926-5818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA66821207Q00000X
FLME126804207Q00000X
AZ51344207Q00000X
MI4301108700207Q00000X
WA60596936207Q00000X
PAMD456393207Q00000X
NY281822207Q00000X
GA75445207Q00000X
IL36139663207Q00000X
MN60077207Q00000X
OH35.127997207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine