CHONG LIEU M.D NPI 1659375178

NPI Information

  • NPI: 1659375178
  • Provider Name: CHONG LIEU, M.D
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 930 W WILSON AVE
    MOORESVILLE, NC
    ZIP 28117
  • Phone: (704) 663-7500

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NPI Details

Chong Lieu, M.D is a family medicine in Mooresville, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Chong Lieu, M.D NPI is 1659375178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

930 W WILSON AVE
MOORESVILLE, NC
ZIP 28117-811
Phone: (704) 663-7500
Fax: (704) 799-2613

The enumeration date for this NPI number is 6/13/2005 and was last updated on 2/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine22139NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18951921MEDICAIDNORTH CAROLINA
2201918CMEDICARE PINNORTH CAROLINA
3C85527MEDICARE UPINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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