Individual
YEN THI LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
23832 ROCKFIELD BLVD STE AND220, LAKE FOREST, CA 92630-2805
(949) 770-8115
Mailing address
14252 CULVER DR # A918, IRVINE, CA 92604-0317
(949) 943-9209
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
12/31/2024
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