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NPI Code Detail

MEDICARE: DR. LU YE MD

MEDICARE: DR. LU YE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician11014189AIN
2207Q00000XFamily Medicine Physician036128773IL

General Provider Information

NPI Number : 1619130317
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LU YE MD
Provider Business Mailing Address
First Line : 611 W. PARK ST.
Second Line : BWPC
City : URBANA
State : IL
Zip : 61801-2500
Country : US
Telephone Number : 217-383-6792
Fax Number :
Provider Business Practice Location Address
First Line : 311 W. FAIRCHILD ST.
Second Line :
City : DANVILLE
State : IL
Zip : 61832-3803
Country : US
Telephone Number : 217-431-7600
Fax Number : 217-431-7850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2008
Last Update Date : 11/06/2014

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