Provider Demographics
NPI:1023130713
Name:YEE, LAWRENCE ZALE (MPT)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:ZALE
Last Name:YEE
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2166 CRUDEN BAY WAY
Mailing Address - Street 2:
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-3082
Mailing Address - Country:US
Mailing Address - Phone:408-846-0118
Mailing Address - Fax:
Practice Address - Street 1:15047 LOS GATOS BLVD
Practice Address - Street 2:SUITE 180
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2054
Practice Address - Country:US
Practice Address - Phone:408-358-6505
Practice Address - Fax:408-358-6404
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA320612251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic