Individual provider · Type 1 NPI

Jie Liu

Medical Physician Assistant · Joint Base Lewis Mcchord, WA

NPI number 1124722210 Active

Practice location

9040A Jackson Ave
Joint Base Lewis Mcchord, WA 98431-0001

Mailing address

3417 Juno St NE
Lacey, WA 98516-4503

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1124722210

Jie Liu's National Provider Identifier is 1124722210, issued on Mar 30, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Joint Base Lewis Mcchord, WA. The record was last updated on Mar 30, 2023.