MEDICARE: MRS. LILY LEE YOUNG LPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	293894	KY

General Provider Information

NPI Number	:	1225995038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LILY LEE YOUNG LPA

Provider Business Mailing Address
First Line	:	6550 CAROTHERS PKWY STE 500
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-6692
Country	:	US
Telephone Number	:	800-592-2974
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 KY-146 W HIGHWAY
Second Line	:
City	:	LA GRANGE
State	:	KY
Zip	:	40031
Country	:	US
Telephone Number	:	800-367-5690
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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