Individual
LIANA AU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1134 N 500 W, SUITE 102, PROVO, UT 84604-3383
(801) 357-1770
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-1770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7399446-1205
UT
Other
Enumeration date
04/16/2008
Last updated
01/07/2014
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