Basic Information
Provider Information
NPI: 1518353358
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LIOU
FirstName: HAU-LUN
MiddleName: RACHEL
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 416457
Address2:  
City: BOSTON
State: MA
PostalCode: 022416457
CountryCode: US
TelephoneNumber: 8443621735
FaxNumber: 9732907495
Practice Location
Address1: 161 FORT WASHINGTON AVE FL 8
Address2:  
City: NEW YORK
State: NY
PostalCode: 100323729
CountryCode: US
TelephoneNumber: 2123050444
FaxNumber: 2123050445
Other Information
ProviderEnumerationDate: 04/08/2015
LastUpdateDate: 02/22/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/22/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X303267NYN Allopathic & Osteopathic PhysiciansSurgery 
208600000X25MA11292500NJY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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