Individual
LAWRENCE ALLEN YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN
Contact information
Practice address
8900 SE 165TH MULBERRY LANE, VA MEDICAL CLINIC - PRIMARY CARE, THE VILLAGES, FL 32162
(352) 674-5000
Mailing address
8900 SE 165TH MULBERRY LN, VA MEDICAL CLINIC - PRIMARY CARE, THE VILLAGES, FL 32162-5884
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
17735
TN
363LG0600X
Gerontology Nurse Practitioner
17735
TN
Other
Enumeration date
07/03/2013
Last updated
09/14/2016
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