Provider Demographics
NPI:1497985790
Name:YONG, LANAE BRIANNA (OD)
Entity Type:Individual
Prefix:DR
First Name:LANAE
Middle Name:BRIANNA
Last Name:YONG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:LANAE
Other - Middle Name:BRIANNA
Other - Last Name:KNAPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13460 S ARCHER AVE
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-4755
Mailing Address - Country:US
Mailing Address - Phone:630-243-1492
Mailing Address - Fax:630-243-6523
Practice Address - Street 1:13460 S ARCHER AVE
Practice Address - Street 2:
Practice Address - City:LEMONT
Practice Address - State:IL
Practice Address - Zip Code:60439-4755
Practice Address - Country:US
Practice Address - Phone:630-243-1492
Practice Address - Fax:630-243-6523
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046010240152W00000X
VA0618001850152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist