Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD-28656 | IA |
Y | 208600000X | Surgeon | MD-28656 | IA |
N | 2082S0105X | Plastic Hand Surgeon | MD-28656 | IA |
NPI | 1568458396 |
---|---|
Provider Name | Dr. Lester James Yen |
First Address | West Des Moines, IA 50266-9313 |
Second Address | West Des Moines, IA 50266 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2005 |
Last Update Date | 17/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F28641 | (02) | IA |