Individual
DR. MICHAEL LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
927 E PRUDHOMME ST, OPELOUSAS, LA 70570-8240
(337) 594-0675
Mailing address
PO BOX 537, OPELOUSAS, LA 70571-0537
(337) 594-0675
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
026414
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1065315
—
LA
Enumeration date
11/08/2006
Last updated
10/21/2010
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