Philip Lieu, M.D.
Ophthalmology in Desoto, TX. Individual provider (NPI-1).
NPI number1164740718
StatusActive
Last updated in NPPESJul 30, 2020
Details
- NPI
- 1164740718
- Entity type
- Individual (NPI-1)
- Name
- Philip Lieu
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 6, 2010
- Certification date
- Jul 30, 2020
- Last updated
- Jul 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | S4807 | TX | Yes |
| 207W00000X | Ophthalmology | 4301104568 | MI | |
| 207W00000X | Ophthalmology | BP20040314 | TX |
Practice location
2625 Bolton Boone DrDesoto, TX 75115-2011
Phone 972-283-1516 · Fax 972-283-1448
Mailing address
2625 Bolton Boone DrDesoto, TX 75115-2011
Phone 469-383-3368 · Fax 214-452-2396
Other practice locations
3181 E Grand Blanc Road
Grand Blanc, MI 48439
Grand Blanc, MI 48439
Phone 810-694-6933
1000 Wall Street
Ann Arbor, MI 48105-1912
Ann Arbor, MI 48105-1912
Phone 734-764-4190
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