Provider Demographics
NPI:1316297229
Name:CHAN, LAWRENCE YAPUI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:YAPUI
Last Name:CHAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:877 HEATHERSTONE WAY APT 313
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-3522
Mailing Address - Country:US
Mailing Address - Phone:808-206-0432
Mailing Address - Fax:
Practice Address - Street 1:643 SANTA CRUZ AVE
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4502
Practice Address - Country:US
Practice Address - Phone:650-321-1530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67785183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist