Basic Information
Provider Information
NPI: 1518147701
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAM-TSAI
FirstName: YVETTE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: LAM
OtherFirstName: YVETTE
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 3020 E CAMELBACK RD
Address2: SUITE 301
City: PHOENIX
State: AZ
PostalCode: 850165059
CountryCode: US
TelephoneNumber: 6022649100
FaxNumber: 6022649101
Practice Location
Address1: 13640 N 99TH AVE
Address2: STE 600
City: SUN CITY
State: AZ
PostalCode: 853512866
CountryCode: US
TelephoneNumber: 6239722116
FaxNumber: 6239720521
Other Information
ProviderEnumerationDate: 11/06/2007
LastUpdateDate: 02/16/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X242215NYN Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
207RG0100X48670AZY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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