Individual
BLAIR LIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(949) 988-1643
Mailing address
1985 ZONAL AVE, LOS ANGELES, CA 90089-5305
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
77274
CA
Other
Enumeration date
11/12/2021
Last updated
06/24/2025
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