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General NPI Number Information
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NPI Number | 1255362406
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Entity Type | Organization
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Legal Business Name | LYG, A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 04/03/2015
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Provider Practice Location Address
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Address Line | 1401 AVOCADO AVE STE 105
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7710
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Country | US
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Telephone | 949-718-9292
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Fax | 949-718-9293
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Provider Business Mailing Address
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Address Line | 1401 AVOCADO AVE STE 105
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7710
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Country | US
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Telephone | 949-718-9292
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Fax | 949-718-9293
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LINCOLN S YEE
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Credential | M.D.
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Telephone | 949-718-9292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G048746
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License Number State | CA
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