Provider Demographics
NPI:1871708867
Name:YAN, MEIJUAN (MD)
Entity type:Individual
Prefix:DR
First Name:MEIJUAN
Middle Name:
Last Name:YAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 HARRISBURG PIKE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17604-2644
Mailing Address - Country:US
Mailing Address - Phone:717-544-3059
Mailing Address - Fax:717-544-3638
Practice Address - Street 1:2112 HARRISBURG PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2644
Practice Address - Country:US
Practice Address - Phone:717-544-3059
Practice Address - Fax:717-544-3638
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD426158207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA109359 4699OtherGEISINGER HEALTH PLAN
PA1660842OtherAETNA HMO
PA7787951OtherAETNA NONHMO
PA1019478270001Medicaid
PA1566748OtherGATEWAY HEALTH PLAN
PA642312OtherHEALTH ASSURANCE
PA001977306OtherHIGHMARK BLUE SHIELD
PA50069641OtherCAPITAL BLUE CROSS
PA20065761OtherAMERIHEALTH MERCY
PA1019478270001Medicaid