Healthcare Provider Details
I. General information
NPI: 1922591999
Provider Name (Legal Business Name): DANNY LAWRENCE YAU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/13/2018
Last Update Date: 06/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1215 E MICHIGAN AVE
LANSING MI
48912-1896
US
IV. Provider business mailing address
2445 BURNT TREE LN APT 11
EAST LANSING MI
48823-7116
US
V. Phone/Fax
- Phone: 517-364-1000
- Fax:
- Phone: 510-648-8047
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 4301115608 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: