Doctor Name: | DR. YUN-LAI SUN |
NPI Number: | 1225120132 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35040233 |
Business Practice Address: | 5295 Oberlin Ave Lorain, OH - 440533435 |
Business Phone Number: | 4402827679 |
Business Fax Number: | 4402825742 |
Mailing Address: | 5295 Oberlin Ave, LORAIN |
State: | OH |
Postal Code: | 440533435 |
Phone Number: | 4402827679 |
Fax Number: | 4402825742 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 10/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35040233 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |