Individual
DEBRA LEE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2296 ALUM VILLAGE DR, LEWIS CENTER, OH 43035-7975
(740) 549-3488
Mailing address
2296 ALUM VILLAGE DR, LEWIS CENTER, OH 43035-7975
(740) 549-3488
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN114181
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2422775
—
OH
Enumeration date
09/30/2006
Last updated
07/09/2007
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