Healthcare Provider Details

I. General information

NPI: 1710137591
Provider Name (Legal Business Name): KAREN YEE-LO D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2008
Last Update Date: 09/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7609 STEILACOOM BLVD SW SUITE 100
LAKEWOOD WA
98498-6199
US

IV. Provider business mailing address

7609 STEILACOOM BLVD SW SUITE 100
LAKEWOOD WA
98498-6199
US

V. Phone/Fax

Practice location:
  • Phone: 253-584-3333
  • Fax: 253-589-2556
Mailing address:
  • Phone: 253-584-3333
  • Fax: 253-589-2556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number7799
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: