Organization
LA YOUNG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANNE YOUNG MSN, APRN, BC (NURSE PRACTIONER)
(402) 474-1511
Entity
Organization
Contact information
Practice address
2222 S 16TH ST, SUITE 330, LINCOLN, NE 68502-3796
(402) 474-1511
(402) 474-1611
Mailing address
2222 S 16TH ST, SUITE 330, LINCOLN, NE 68502-3796
(402) 474-1511
(402) 474-1611
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
110069
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025812500
—
NE
Enumeration date
06/30/2010
Last updated
06/30/2010
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