Individual
LARRY FORTUNE YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
4235 W PINE BLVD UNIT 23, SAINT LOUIS, MO 63108-2873
(252) 367-7683
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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