Individual
LAURA P YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2301 S LAMAR BLVD, OXFORD, MS 38655-5373
(662) 232-8568
(662) 513-1450
Mailing address
2301 S LAMAR BLVD, OXFORD, MS 38655-5373
(662) 232-8568
(662) 513-1450
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14981
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116108
—
MS
01
—
36-4373044
EMPLOYER ID #
MS
Enumeration date
09/30/2006
Last updated
05/26/2010
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