Individual
DIANNA LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036.142384
IL
207W00000X
Ophthalmology Physician
Primary
2021015991
MO
390200000X
Student in an Organized Health Care Education/Training Program
125065402
IL
390200000X
Student in an Organized Health Care Education/Training Program
MT205315
PA
Other
Enumeration date
11/03/2011
Last updated
11/27/2024
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