Individual
DR. NICOLAS ALEXANDER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
25757 LORAIN RD, NORTH OLMSTED, OH 44070-3327
(440) 777-3500
(440) 716-2362
Mailing address
PO BOX 770920, LAKEWOOD, OH 44107-0041
(440) 777-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.009045
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2902881
—
OH
Enumeration date
07/20/2007
Last updated
12/11/2016
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