Lieu, Chong

Lieu, Chong is an individual health care provider with primary practice located at 930 W Wilson Ave , Mooresville NC 28117-8811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lieu, Chong can be contacted via phone (704) 663-7500.

Contact Information

Primary practice address
930 W Wilson Ave Mooresville NC 28117-8811
Phone: (704) 663-7500
Fax: (704) 799-2613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22139 North Carolina

Profile Details

NPI number 1659375178
LBN Legal business name Lieu, Chong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Feb 22nd, 2008 - about 17 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 1659375178 NPPES
North Carolina MEDICAID 8951921

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