Provider Demographics
NPI:1194988147
Name:YUEN, LAWRENCE (RPH)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:
Last Name:YUEN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4170 CLEARWATER WAY
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-6021
Mailing Address - Country:US
Mailing Address - Phone:859-245-9112
Mailing Address - Fax:
Practice Address - Street 1:4170 CLEARWATER WAY
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-6021
Practice Address - Country:US
Practice Address - Phone:859-245-9112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY009780183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist