Individual
AMANDA LUCETTE YOUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2017009254
MO
152W00000X
Optometrist
Primary
2748
AR
Other
Enumeration date
08/02/2016
Last updated
10/20/2025
Update your record
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