Individual
LEWIS MEYER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1001 E 17TH ST, BLOOMINGTON, IN 47408-1590
(812) 855-7155
Mailing address
1001 E 17TH ST, BLOOMINGTON, IN 47408-1590
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
36002957A
IN
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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