Provider Demographics
NPI:1548732662
Name:LEE, EUNICE YEUNG (NP)
Entity type:Individual
Prefix:
First Name:EUNICE
Middle Name:YEUNG
Last Name:LEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1089 W EXCHANGE PKWY APT 6104
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-7050
Mailing Address - Country:US
Mailing Address - Phone:407-494-1068
Mailing Address - Fax:
Practice Address - Street 1:1089 W EXCHANGE PKWY APT 6104
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-7050
Practice Address - Country:US
Practice Address - Phone:407-494-1068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139912363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology