Individual
MRS. LIENG KIM DU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
907 NORTH U STREET, PENSACOLA, FL 32505
(850) 433-6514
(850) 436-6720
Mailing address
907 NORTH U STREET, PENSACOLA, FL 32505
(850) 433-6514
(850) 436-6720
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME50398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07074
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/02/2006
Last updated
07/08/2007
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