| Lisa A Young Do Pllc | |
|
2200 E Show Low Lake Rd Show Low AZ 85901-7831 | |
| (928) 537-4375 | |
| Not Available |
| Full Name | Lisa A Young Do Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2200 E Show Low Lake Rd, Show Low, Arizona |
| Authorized Official Name and Position | Lisa Ann Young (DO, OWNER) |
| Authorized Official Contact | 9703714260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Young Do Pllc 2960 S Briarwood Ln Pinetop AZ 85935-7379 Ph: (970) 371-4260 | Lisa A Young Do Pllc 2200 E Show Low Lake Rd Show Low AZ 85901-7831 Ph: (928) 537-4375 |
| NPI Number | 1982133542 |
|---|---|
| Provider Enumeration Date | 06/07/2017 |
| Last Update Date | 06/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982133542 | NPI | - | NPPES |
| 853249 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 006224 (Arizona) | Primary |
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