Individual
MRS. LARA RENEE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
150 CROSS ST, AKRON, OH 44311-1026
(330) 996-9141
Mailing address
2962 VINCENT RD, SILVER LAKE, OH 44224-2956
(330) 414-9877
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.004965RX
OH
363AM0700X
Medical Physician Assistant
B640536866330
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219385
—
OH
Enumeration date
02/16/2013
Last updated
06/13/2019
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