Provider Demographics
NPI:1588867493
Name:LIU, YONG (ACUPUNCTURIST OMD)
Entity type:Individual
Prefix:
First Name:YONG
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:ACUPUNCTURIST OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 IROQUOIS DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-4214
Mailing Address - Country:US
Mailing Address - Phone:303-939-9732
Mailing Address - Fax:303-939-9732
Practice Address - Street 1:4880 RIVERBEND RD
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301
Practice Address - Country:US
Practice Address - Phone:303-939-9732
Practice Address - Fax:303-939-9732
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO110171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist