Provider Demographics
NPI:1801878277
Name:LIN, LUH-YUAN (DDS)
Entity type:Individual
Prefix:DR
First Name:LUH-YUAN
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 OLD ORCHARD RD
Mailing Address - Street 2:STE 624
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077
Mailing Address - Country:US
Mailing Address - Phone:847-674-0446
Mailing Address - Fax:847-674-0446
Practice Address - Street 1:64 OLD ORCHARD RD
Practice Address - Street 2:STE 624
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077
Practice Address - Country:US
Practice Address - Phone:847-674-0446
Practice Address - Fax:847-674-0446
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1917044122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist