Healthcare Provider Details

I. General information

NPI: 1750227716
Provider Name (Legal Business Name): XIAORAN YU RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUMMER YU

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1424 MEADOW RUE ST
EAST LANSING MI
48823-1764
US

IV. Provider business mailing address

1424 MEADOW RUE ST
EAST LANSING MI
48823-1764
US

V. Phone/Fax

Practice location:
  • Phone: 216-407-2776
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86372573
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: