Individual
MS. LISA RAE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 N BLAKELY ST, DUNMORE, PA 18512-1961
(570) 840-7348
Mailing address
506 BOYLE ST, DUNMORE, PA 18512-2042
(570) 840-7348
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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