Individual
DR. LUCIEN DAVID YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
199 NM HWY 50, PECOS, NM 87552
(505) 757-6482
Mailing address
199 NM HIGHWAY 50, PECOS, NM 87552-9510
(505) 757-6483
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A5612-04
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371152800
—
NM
01
—
80687
BLUECROSS/BLUESHIELD
NM
Enumeration date
02/01/2006
Last updated
03/07/2023
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