| NPI Details | |
|---|---|
| NPI | 1083797666 |
| Gender | Female |
| Enumeration Date | 10/24/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 6701 LOISDALE RD SUITE S SPRINGFIELD VA, 22150-1902, US |
|
| Phone | (703) 719-5455 |
| Fax | |
| Business Location | |
|---|---|
| 9617 SLOWAY COAST DR LORTON VA, 22079-2789, US |
|
| Phone | (703) 495-8226 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 152W00000X |
| License State | Virginia |
| License Number | 0618001093 |
| Remove 1083797666 NPI Number | |
According to our database, Dr. Jeannette Lucille Liu O.D. NPI is 1083797666, taxonomy code is 152W00000X and license number is 0618001093, license state is located at Virginia. Jeannette Lucille Liu O.D. physically located at 6701 Loisdale Rd, Springfield VA, 22150-1902. NPI Number Jeannette Lucille Liu O.D. has the Individual type.
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1083797666 NPI number is provided on an as is basis without warranty of any kind. 1083797666 is maintained by the National Plan & Provider Enumeration System. The contents of Jeannette Lucille Liu O.D. are for informational purposes only.
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