Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 0101220595 | VA |
NPI | 1114962743 |
---|---|
Provider Name | Lynne Pei-Lan Yao |
First Address | Falls Church, VA 22042-3307 |
Second Address | Fairfax, VA 22031-4621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 19/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H31058 | (02) |