Individual
LISA ANN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 MAGNOLIA CT, MOULTRIE, GA 31768-6764
(229) 502-9769
(928) 338-5508
Mailing address
PO BOX 860, WHITERIVER IHS, WHITERIVER, AZ 85941
(928) 338-4911
(928) 338-5508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
88683
GA
Other
Enumeration date
06/02/2009
Last updated
10/05/2021
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