Lieu, Judith E

Lieu, Judith E is an individual health care provider with primary practice located at 1 Childrens Pl Dept Otolaryngology, Ste 3S, Saint Louis MO 63110-1002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as her primary health care specialty. Lieu, Judith E can be contacted via phone (314) 454-6162.

Contact Information

Primary practice address
1 Childrens Pl Dept Otolaryngology, Ste 3S Saint Louis MO 63110-1002
Fax: (314) 454-2174
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 100949 Missouri

Profile Details

NPI number 1336165646
LBN Legal business name Lieu, Judith E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 25th, 2024 - about 5 months 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 1336165646 NPPES
Missouri MEDICAID 206953416

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