Provider Demographics
NPI:1427374370
Name:FANG, YAN MEI II (LAC)
Entity Type:Individual
Prefix:MS
First Name:YAN MEI
Middle Name:
Last Name:FANG
Suffix:II
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4353 MIDMOST DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-5505
Mailing Address - Country:US
Mailing Address - Phone:251-341-4507
Mailing Address - Fax:850-479-3489
Practice Address - Street 1:4353 MIDMOST DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5505
Practice Address - Country:US
Practice Address - Phone:251-341-4507
Practice Address - Fax:850-479-3489
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-18
Last Update Date:2010-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2751171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist