Provider Demographics
NPI:1053314989
Name:YEE, LAURENCE F (MD)
Entity type:Individual
Prefix:
First Name:LAURENCE
Middle Name:F
Last Name:YEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3838 CALIFORNIA ST
Mailing Address - Street 2:RM 616
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1508
Mailing Address - Country:US
Mailing Address - Phone:415-668-0411
Mailing Address - Fax:415-668-6352
Practice Address - Street 1:3838 CALIFORNIA ST
Practice Address - Street 2:RM 616
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1508
Practice Address - Country:US
Practice Address - Phone:415-668-0411
Practice Address - Fax:415-668-6352
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG74465208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G744650Medicaid
CA00G744650Medicaid
CAYYY32939YMedicare ID - Type Unspecified