Provider Demographics
NPI:1528037314
Name:LAM, YUEN YU MARY (MS, ATC, LMT)
Entity Type:Individual
Prefix:MS
First Name:YUEN YU
Middle Name:MARY
Last Name:LAM
Suffix:
Gender:F
Credentials:MS, ATC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 DIAMOND ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-2608
Mailing Address - Country:US
Mailing Address - Phone:954-661-6766
Mailing Address - Fax:
Practice Address - Street 1:108 DIAMOND ST
Practice Address - Street 2:WASHINGTON AND LEE UNIVERSITY
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2608
Practice Address - Country:US
Practice Address - Phone:540-458-8486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260008032255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer