Individual
NANLONG LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST UNIT 310, LOUISVILLE, KY 40202-5703
(502) 588-4600
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50046
KY
207RG0100X
Gastroenterology Physician
Primary
50046
KY
207RG0100X
Gastroenterology Physician
ME143649
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100361240
—
KY
Enumeration date
04/03/2014
Last updated
10/07/2021
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