Individual
DR. JEANNETTE LUCILLE LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6701 LOISDALE RD, SUITE S, SPRINGFIELD, VA 22150-1902
(703) 719-5455
Mailing address
9617 SLOWAY COAST DR, LORTON, VA 22079-2789
(703) 495-8226
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001093
VA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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