# LISA A YOUNG DO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982133542
- **Authorized official:** LISA ANN YOUNG DO (DO, OWNER)
- **Authorized official phone:** (970) 371-4260

## Contact information

- **Practice address:** 2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
- **Practice address phone:** (928) 537-4375
- **Mailing address:** 2960 S BRIARWOOD LN, PINETOP, AZ 85935-7379
- **Mailing address phone:** (970) 371-4260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 006224 | AZ | Yes |

## Other

- **Enumeration date:** 06/07/2017
- **Last updated:** 06/08/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 853249 | — | AZ |