Individual
LISA ANN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1035 N EMPORIA ST, SUITE 105, WICHITA, KS 67214-2944
(316) 263-7285
(316) 263-2666
Mailing address
1035 N EMPORIA ST, SUITE 105, WICHITA, KS 67214-2944
(316) 263-7285
(316) 263-2666
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45163
KS
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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