Provider Demographics
NPI:1558329326
Name:LUYANDO, YVONNE (MD)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:LUYANDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 PERIMETER PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 E DOGWOOD DR
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-7746
Practice Address - Country:US
Practice Address - Phone:919-563-2896
Practice Address - Fax:919-563-2724
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-02
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39192174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC53490OtherBLUE CROSS BLUE SHIELD
NC8953490Medicaid
NC080148262OtherUNITED HEALTHCARE
NC080148262OtherUNITED HEALTHCARE
NC2152994CMedicare ID - Type Unspecified