Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | L-232241 | MA |
Y | 2080P0214X | Pediatric Pulmonologist | 242128 | MA |
NPI | 1386849990 |
---|---|
Provider Name | Lael M. Yonker |
First Address | Boston, MA 02114 |
Second Address | Boston, MA 02114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2007 |
Last Update Date | 08/02/2019 |