Provider Demographics
NPI:1609681691
Name:LEE, YAN QING
Entity type:Individual
Prefix:
First Name:YAN
Middle Name:QING
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5198 HICKORY POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-6817
Mailing Address - Country:US
Mailing Address - Phone:734-352-7191
Mailing Address - Fax:
Practice Address - Street 1:5198 HICKORY POINTE BLVD
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-6817
Practice Address - Country:US
Practice Address - Phone:734-352-7191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion