Individual
LYNN NGOC PHUONG LIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8230 LEESBURG PIKE STE 740, VIENNA, VA 22182-2641
(877) 504-4141
Mailing address
7113 LEESVILLE BLVD, SPRINGFIELD, VA 22151-3437
(703) 956-0295
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
02/06/2024
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