Provider Demographics
NPI:1679753529
Name:LIU, XUAN (L AC)
Entity type:Individual
Prefix:
First Name:XUAN
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CEDAR BLVD
Mailing Address - Street 2:SUITE 301, CHINESE ACUPUNCTURE & HERBS CENTER
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1330
Mailing Address - Country:US
Mailing Address - Phone:412-563-3328
Mailing Address - Fax:412-563-2755
Practice Address - Street 1:20 CEDAR BLVD
Practice Address - Street 2:SUITE 301, CHINESE ACUPUNCTURE & HERBS CENTER
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1330
Practice Address - Country:US
Practice Address - Phone:412-563-3328
Practice Address - Fax:412-563-2755
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAAK000887171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist