Individual
LISA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1007 N COUNTRY CLUB RD, ADA, OK 74820-2847
(580) 421-8700
(580) 421-8707
Mailing address
1007 N COUNTRY CLUB RD, ADA, OK 74820-2847
(580) 421-8700
(580) 421-8707
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
R 0073114
OK
363LF0000X
Family Nurse Practitioner
Primary
73114
OK
Other
Enumeration date
05/23/2016
Last updated
02/27/2020
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