Individual
CHRISTOPHER YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 WESTMARK BLVD, LAFAYETTE, LA 70506-7345
(337) 233-7250
Mailing address
123 WESTMARK BLVD, LAFAYETTE, LA 70506-7345
(337) 233-7250
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1141364
—
LA
Enumeration date
07/24/2018
Last updated
07/24/2018
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