Individual
LISA J. YOO
Active
Individual
LISA J. YOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS018744
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033016190001
—
PA
05
—
1033016190002
—
PA
05
—
1033016190003
—
PA
01
—
578883KKU
MEDICARE
PA
01
—
P01912312
RR MEDICARE
PA
Enumeration date
05/13/2011
Last updated
01/21/2026
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