Individual
YUPAR SOE LAKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
130 N JACKSON AVE, SAN JOSE, CA 95116-1907
(408) 795-3888
Mailing address
656 DOWNING AVE, SAN JOSE, CA 95128-3423
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
NP95015345
CA
363LG0600X
Gerontology Nurse Practitioner
NP95015345
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95015345
CA
Other
Enumeration date
11/18/2020
Last updated
04/07/2025
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