Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 42177 | KY |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 4301079956 | MI |
NPI | 1053526038 |
---|---|
Provider Name | Dr. Lina Yassine |
First Address | Louisville, KY 40207-1307 |
Second Address | Louisville, KY 40207-1307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 09/10/2009 |