Provider Demographics
NPI:1770732067
Name:LIU, JANETTE L (OD)
Entity type:Individual
Prefix:DR
First Name:JANETTE
Middle Name:L
Last Name:LIU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:90 PLEASANT VALLEY ST
Mailing Address - Street 2:UNIT 250
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-7289
Mailing Address - Country:US
Mailing Address - Phone:978-683-2020
Mailing Address - Fax:978-683-2040
Practice Address - Street 1:72 MERRIMACK ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6207
Practice Address - Country:US
Practice Address - Phone:978-374-0386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1324152W00000X
FLOPC 4341152W00000X
MA4736152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist