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Organization

LISA A YOUNG DO PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA ANN YOUNG DO (DO, OWNER)
(970) 371-4260
Entity
Organization

Contact information

Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(928) 537-4375
Mailing address
2960 S BRIARWOOD LN, PINETOP, AZ 85935-7379
(970) 371-4260

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
006224
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
853249
AZ
Enumeration date
06/07/2017
Last updated
06/08/2017
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