Individual
DR. LORNA LYNN O'YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 FRANK SCOTT PKWY W, SUITE 908, BELLEVILLE, IL 62223-5000
(618) 236-7555
(618) 236-7565
Mailing address
2900 FRANK SCOTT PKWY W, SUITE 908, BELLEVILLE, IL 62223-5000
(618) 236-7555
(618) 236-7565
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036093699
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093699
—
IL
Enumeration date
10/30/2007
Last updated
04/24/2012
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