Individual
DR. LESTER YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13380 W TREPANIA RD, HAYWARD, WI 54843-2186
(715) 638-5100
(715) 634-2740
Mailing address
13380 W TREPANIA RD, LAC COURTE OREILLES COMMUNITY HEALTH CTR, HAYWARD, WI 54843-2186
(715) 638-5100
(715) 634-2740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33218
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31848000
—
WI
01
—
730290003
MEDICARE NUMBER
WI
Enumeration date
08/24/2006
Last updated
03/07/2023
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