Provider Demographics
NPI:1598120883
Name:LEE, YA LING ERIN (RPH)
Entity Type:Individual
Prefix:MS
First Name:YA LING
Middle Name:ERIN
Last Name:LEE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4321 MULLIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-3480
Mailing Address - Country:US
Mailing Address - Phone:214-641-4051
Mailing Address - Fax:
Practice Address - Street 1:8200 MATLOCK ROAD STE 150
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-3480
Practice Address - Country:US
Practice Address - Phone:682-222-7830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-31
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist