Individual
DR. LAWRENCE A YOUNG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
22161 OUTER DR, DEARBORN, MI 48124-3901
(313) 565-8080
(313) 565-2417
Mailing address
634 VINEWOOD AVE, BIRMINGHAM, MI 48009-1311
(248) 647-3832
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1062616
—
MI
Enumeration date
01/25/2006
Last updated
07/09/2007
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