Healthcare Provider Details

I. General information

NPI: 1154530236
Provider Name (Legal Business Name): YAMILETH R CAZORLA-LANCASTER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 N 35TH AVE STE 120
YAKIMA WA
98902-1622
US

IV. Provider business mailing address

1111 N 35TH AVE STE 120
YAKIMA WA
98902-1622
US

V. Phone/Fax

Practice location:
  • Phone: 509-969-6214
  • Fax: 509-420-9357
Mailing address:
  • Phone: 509-969-6214
  • Fax: 509-420-9357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOP60077117
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: