Individual
MRS. LYDIA MOCK YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8595 PICARDY AVE, BATON ROUGE, LA 70809-3670
(225) 763-4950
(225) 763-4066
Mailing address
13127 RODDY RD, GONZALES, LA 70737-7316
(225) 763-4900
(225) 763-4066
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4313
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1166839
—
LA
01
—
P00218784
RAILROAD MEDICARE
LA
Enumeration date
05/30/2005
Last updated
07/09/2009
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