Organization
LARRY YEE MD
Active
Other names
LARRY YEE MD
Organization subpart
No
Provider details
NPI number
Authorized official
DIRENDIA SHACKELFORD (MANAGED CARE SPECIALIST)
(800) 654-0889
Entity
Organization
Contact information
Practice address
7660 W CHEYENNE AVE STE 110, LAS VEGAS, NV 89129-6757
(702) 240-5456
(702) 240-1692
Mailing address
7660 W CHEYENNE AVE STE 110, LAS VEGAS, NV 89129-6757
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
4655
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2982139
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/23/2006
Last updated
08/22/2020
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