Individual
JUAN DOMINGO LY LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 LOTHROP ST, SUITE E204, PITTSBURGH, PA 15213-2536
(412) 647-3510
(412) 647-0738
Mailing address
320 E NORTH AVENUE, 17TH FLOOR SOUTH TOWER, PITTSBURGH, PA 15212
(412) 359-4882
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD476652
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT211216
PA
Other
Enumeration date
09/01/2016
Last updated
02/01/2023
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