Provider Demographics
NPI:1699083048
Name:LIU, MEGAN (BA/BS)
Entity type:Individual
Prefix:MISS
First Name:MEGAN
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:BA/BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8928 VOLUNTEER LN STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-3238
Mailing Address - Country:US
Mailing Address - Phone:916-368-5114
Mailing Address - Fax:916-368-5157
Practice Address - Street 1:275 NEVADA ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-4617
Practice Address - Country:US
Practice Address - Phone:530-887-9982
Practice Address - Fax:530-887-9994
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator