MEDICARE: LARRY YEE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4655	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467401471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARRY YEE MD

Provider Business Mailing Address
First Line	:	7660 W CHEYENNE AVE
Second Line	:	# 110
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6760
Country	:	US
Telephone Number	:	702-240-5456
Fax Number	:	702-240-1692

Provider Business Practice Location Address
First Line	:	7660 W CHEYENNE AVE
Second Line	:	# 110
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6760
Country	:	US
Telephone Number	:	702-240-5456
Fax Number	:	702-240-1692

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	10/08/2009

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Directions to “ LARRY YEE MD” Practice Location

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