Individual
DR. LACEY ROSE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1013 N MAIN ST, SIKESTON, MO 63801-5043
(573) 472-7535
(573) 472-7787
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 471-1600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023013816
MO
207Q00000X
Family Medicine Physician
E14803
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2020
Last updated
11/06/2025
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