Provider Demographics
NPI:1154591204
Name:LUE, YVONNE A (PHD)
Entity type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:A
Last Name:LUE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 DOGWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-1033
Mailing Address - Country:US
Mailing Address - Phone:973-989-8970
Mailing Address - Fax:
Practice Address - Street 1:34 DOGWOOD TRL
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-1033
Practice Address - Country:US
Practice Address - Phone:973-989-8970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLUEXY1246QM0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMicrobiology