Individual
AMANDA LIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
70 EAST ST, METHUEN, MA 01844-4597
(978) 687-0151
Mailing address
42 PINE HILL RD, WORCESTER, MA 01604-2036
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
265649
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110111977A
—
MA
Enumeration date
05/23/2013
Last updated
11/24/2020
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