Sue May Liu, M.D.

Individual provider Active NPI Pediatrics Physician · Deville, LA

NPI 1982895801 · NPPES record last updated Aug 6, 2007

Key facts

NPI
1982895801
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
MD.05814R (LA)
Practice address
96 Barney Rush Rd
Deville, LA 71328-9430
Phone
(318) 466-5864
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.05814RLAMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.05814R LA Yes

Addresses

Primary practice location

96 Barney Rush Rd
Deville, LA 71328-9430

Mailing address

96 Barney Rush Rd
Deville, LA 71328-9430
Phone (318) 466-5864

Other identifiers

IdentifierTypeStateIssuer
1327581MedicaidLA

Other providers in Deville, LA

All providers in Deville, LA · Pediatrics Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.