Individual
MICAELA R YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1621 N MEMORIAL DR, LANCASTER, OH 43130-1632
(405) 695-9580
Mailing address
104 HOOVER ST, NEWARK, OH 43055-5141
(405) 695-9580
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
363AM0700X
Medical Physician Assistant
Primary
50.009388RX
OH
Other
Enumeration date
03/09/2017
Last updated
12/12/2025
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