Individual
DR. LI MIN I LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N 12TH STREET, UPPER LEVEL, LEMOYNE, PA 17043
(717) 737-5767
(717) 737-6268
Mailing address
50 N 12TH ST UPPR LEVEL, LEMOYNE, PA 17043-1428
(717) 737-5767
(717) 737-6268
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD070672L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017937280001
—
PA
01
—
02141801
CAPITAL BLUE CROSS
PA
01
—
110202395
PALMETO GBA-UNITED HEALTHCARE
PA
01
—
127026
COVENTRY
PA
01
—
7795937
AETNA
PA
01
—
819303
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/29/2005
Last updated
02/19/2010
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