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Individual
JOHN SIC-YIU LIU
Active
Individual
JOHN SIC-YIU LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6498T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00036039
MEDICARE R/R
—
05
—
SD0064980
—
CA
Enumeration date
07/24/2006
Last updated
06/16/2009
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