Young, Lori A

Young, Lori A is an individual health care provider with primary practice located at 1500 Provident Dr Ste A , Warsaw IN 46580-3297. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Young, Lori A can be contacted via phone (574) 372-7637.

Contact Information

Primary practice address
1500 Provident Dr Ste A Warsaw IN 46580-3297
Phone: (574) 372-7637
Fax: (574) 372-7689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001143 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001143A Indiana

Profile Details

NPI number 1306867940
LBN Legal business name Young, Lori A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Sep 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306867940 NPPES
Indiana MEDICAID 200329130

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