Provider Demographics
NPI:1982924510
Name:YONG, LASIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:LASIE
Middle Name:
Last Name:YONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1528 E AMAR RD
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91792-1618
Mailing Address - Country:US
Mailing Address - Phone:626-965-2016
Mailing Address - Fax:626-965-5386
Practice Address - Street 1:1528 E AMAR RD
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91792-1618
Practice Address - Country:US
Practice Address - Phone:626-965-2016
Practice Address - Fax:626-965-5386
Is Sole Proprietor?:No
Enumeration Date:2010-06-05
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 42399183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist