Healthcare Provider Details

I. General information

NPI: 1740866813
Provider Name (Legal Business Name): LEANNE YOUNG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2021
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 DUTTON DR
YOUNGSTOWN OH
44502-1899
US

IV. Provider business mailing address

10 DUTTON DR
YOUNGSTOWN OH
44502-1899
US

V. Phone/Fax

Practice location:
  • Phone: 330-746-7691
  • Fax:
Mailing address:
  • Phone: 330-746-4691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35.155249
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: