Lisa Rae Young

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

102 N Blakely St
Dunmore, PA 18512-1961

Phone

(570) 840-7348

NPI assigned

Sep 22, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1013241124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 BOYLE ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122042",
            "telephone_number": "570-840-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N BLAKELY ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185121961",
            "telephone_number": "570-840-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LISA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wound Institute and Research Center
• Wound Management Consultants, PC
• Christine Yerger
• Michael A Yoder, MD
• Young Men'S Christian Association of Greater Scranton
• Zero Pediatrics PLLC
• Jeffrey M Zero, DO, FAAP
• Nicole A Zmuda, PHD, LCSW

• Specialist in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.