Individual
LUCAS DALE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
12410 MILESTONE CENTER DR STE 600, GERMANTOWN, MD 20876-7102
(301) 828-2350
(301) 828-2350
Mailing address
12410 MILESTONE CENTER DR STE 600, GERMANTOWN, MD 20876-7102
(301) 828-2350
(301) 828-2350
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AC004327
MD
Other
Enumeration date
04/12/2022
Last updated
10/22/2024
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