N.d. Lien, P.c.

NPI 1063553501 - General Practice - 208D00000X

NPI Details
NPI 1063553501
Enumeration Date 02/09/2007
Last Updated 01/24/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LIEN DUC LIEN
Position PRESIDENT
Phone (770) 270-0290
Fax (770) 723-0598
Practice Location
4865 LAVISTA RD
SUITE A
TUCKER GA, 30084-4436, US
Phone (770) 270-0290
Fax (770) 723-0598
Business Location
PO BOX 29528
ATLANTA GA, 30359-0528, US
Phone (770) 270-0290
Fax (770) 723-0598
Toxanomy
Taxonomy Code 208D00000X
License State Georgia
License Number 036656
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According to our database, N.d. Lien, P.c. NPI is 1063553501, taxonomy code is 208D00000X and license number is 036656, license state is located at Georgia. N.d. Lien, P.c. physically located at 4865 Lavista Rd, Tucker GA, 30084-4436. NPI Number 1033115704 has the healthcare provider type.

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1063553501 NPI number is provided on an as is basis without warranty of any kind. 1063553501 is maintained by the National Plan & Provider Enumeration System. The contents of N.d. Lien, P.c. are for informational purposes only.