Individual
LISA MARIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
15150 W MONDELL RD, SURPRISE, AZ 85374-3434
(623) 876-7604
(623) 876-7605
Mailing address
14819 N 173RD LN, SURPRISE, AZ 85388-7833
(623) 584-6008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN107507
AZ
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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