Provider Demographics
NPI:1093068116
Name:YEE, LISA C (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:C
Last Name:YEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 LINCOLN AVE UNIT 203
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-3879
Mailing Address - Country:US
Mailing Address - Phone:847-814-8355
Mailing Address - Fax:
Practice Address - Street 1:7400 LINCOLN AVE UNIT 203
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-3879
Practice Address - Country:US
Practice Address - Phone:847-814-8355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.295809183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist