Liu, Qiaorong

Liu, Qiaorong is an individual health care provider with primary practice located at 1716 Hartford St , Lafayette IN 47904-2138. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Liu, Qiaorong can be contacted via phone (765) 742-1567.

Contact Information

Primary practice address
1716 Hartford St Lafayette IN 47904-2138
Phone: (765) 742-1567
Fax: (765) 742-2750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 28225212A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 28225212A Indiana

Profile Details

NPI number 1851812747
LBN Legal business name Liu, Qiaorong
Credentials AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2017
Last updated May 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851812747 NPPES
Indiana MEDICAID 300005827

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