Individual
LI-CHUN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
240 PARSONS AVE, COLUMBUS, OH 43215-5331
(614) 645-6757
(614) 645-0070
Mailing address
240 PARSONS AVE, COLUMBUS, OH 43215-5331
(614) 645-7417
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP-0485
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2223089
—
OH
01
—
316400223035
CARESOURCE GROUP CLINIC #
OH
Enumeration date
06/29/2006
Last updated
07/17/2007
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