Individual
MR. ROBERT R YASUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
40 LYNCHBURG HWY, LYNCHBURG, TN 37352-7449
(931) 759-4197
Mailing address
PO BOX 8187, LYNCHBURG, TN 37352-8187
(931) 695-5466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443866
—
TN
Enumeration date
02/21/2006
Last updated
03/27/2013
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