Lisa a Young DO PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

006224 Issued in AZ

Legal business name

LISA A YOUNG DO PLLC

Practice address

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831

Phone

(928) 537-4375

NPI assigned

Jun 7, 2017

Organization subpart

No

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

Authorized official

Name

Lisa Ann Young, DO

Title

DO, Owner

Phone

(970) 371-4260

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496880000000",
    "number": "1982133542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 S BRIARWOOD LN",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859357379",
            "telephone_number": "970-371-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E SHOW LOW LAKE RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017831",
            "telephone_number": "928-537-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A YOUNG DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DO, OWNER",
        "authorized_official_telephone_number": "970-371-4260",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "006224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "853249",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leon a Driss PC
• Elizabeth Letner, RN
• Jeffrey A Levison, M.D.
• Joshua Orr Lewis, O.D.
• Heath Arnold Lindsey, PA-C
• Cherylee Lisonbee, DC
• Russel Lisonbee
• Living Water: White Mountain Counseling, LLC
• Bradley D Lockhart, B.S., PHARM. D.
• Elizabeth R. Loffswold, PT

• Family Medicine Physician in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.