Individual
LI LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
345 ST. PAUL PLACE, PATHOLOGY DEPT., 7TH FLOOR, BALTIMORE, MD 21202
(410) 332-9447
Mailing address
301 ST. PAUL PLACE, MEDICAL STAFF OFFICE, BALTIMORE, MD 21202
(410) 659-2802
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D0081369
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014
CAREFIRST - BLUE CHOICE
MD
01
—
516464YV6
MEDICARE
MD
Enumeration date
04/29/2010
Last updated
10/27/2016
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