Individual
LISA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3601 N PROGRESS AVE, HARRISBURG, PA 17110-9100
(717) 233-7290
Mailing address
3601 N PROGRESS AVE, HARRISBURG, PA 17110-9100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
299394
PA
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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