| Doctor Name: | DR. SOPHIE I LIU |
| NPI Number: | 1013911395 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M. |
| License Number: | 000758 |
| Business Practice Address: | 1475 Kisker Rd Ste 260 Saint Charles, MO - 633048788 |
| Business Phone Number: | 6369284447 |
| Business Fax Number: | 6369284497 |
| Mailing Address: | 1475 Kisker Rd, Ste 260 SAINT CHARLES |
| State: | MO |
| Postal Code: | 633048788 |
| Phone Number: | 6369284447 |
| Fax Number: | 6369284497 |
| NPI Enumeration Date: | 06/02/2005 |
| NPI Last Update Date: | 12/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 000758 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |