Individual
LORI A YOUNGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
147 W 1ST ST, OSWEGO, NY 13126-2045
(315) 343-2020
(315) 207-2001
Mailing address
147 W 1ST ST, OSWEGO, NY 13126-2045
(315) 343-2020
(315) 207-2001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007521-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410028898
RAILROAD MEDICARE
WA
01
—
410032420
RAILROAD MEDICARE
WA
01
—
410045035
RAILROAD MEDICARE
WA
01
—
410045497
RAILROAD MEDICARE
ID
Enumeration date
08/24/2006
Last updated
04/09/2013
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