Individual
CHONG LIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
930 W WILSON AVE, MOORESVILLE, NC 28117-8811
(704) 663-7500
(704) 799-2613
Mailing address
930 W WILSON AVE, MOORESVILLE, NC 28117-8811
(704) 663-7500
(704) 799-2613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22139
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8951921
—
NC
Enumeration date
06/13/2005
Last updated
02/22/2008
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