Healthcare Provider Details

I. General information

NPI: 1144153107
Provider Name (Legal Business Name): BRIANNA LEE YOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5018 MEDICAL CENTER CIR STE 101B
ALLENTOWN PA
18106-9661
US

IV. Provider business mailing address

1113 W JUBILEE ST
EMMAUS PA
18049-3417
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-2598
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA068231
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: