Provider Demographics
NPI:1871810168
Name:LEE, YAO-YU
Entity type:Individual
Prefix:
First Name:YAO-YU
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 S BERETANIA ST STE 300
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1872
Mailing Address - Country:US
Mailing Address - Phone:808-772-4219
Mailing Address - Fax:808-200-1215
Practice Address - Street 1:1401 S BERETANIA ST STE 300
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1872
Practice Address - Country:US
Practice Address - Phone:808-772-4219
Practice Address - Fax:808-200-1215
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU-882171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist