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Organization
LISA A YOUNG DO PLLC
Active
Organization
LISA A YOUNG DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN YOUNG DO (DO, OWNER)
(970) 371-4260
Entity
Organization
Contact information
Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(928) 537-4375
Mailing address
2960 S BRIARWOOD LN, PINETOP, AZ 85935-7379
(970) 371-4260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
006224
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853249
—
AZ
Enumeration date
06/07/2017
Last updated
06/08/2017
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