Provider Demographics
NPI:1902424377
Name:YEUNG, MICHELLE TSUN LAM (PA-C)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:TSUN LAM
Last Name:YEUNG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 IRVING PKWY STE 210
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-5301
Mailing Address - Country:US
Mailing Address - Phone:919-385-6700
Mailing Address - Fax:
Practice Address - Street 1:401 IRVING PKWY
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-5300
Practice Address - Country:US
Practice Address - Phone:919-385-6700
Practice Address - Fax:919-385-6749
Is Sole Proprietor?:No
Enumeration Date:2020-07-11
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC001012525363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant