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NPI Code Detail

MEDICARE: LAUREN ELIZABETH YOUNG

MEDICARE:   LAUREN ELIZABETH YOUNG
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
1235Z00000XSpeech-Language Pathologist7101008356MI

General Provider Information

NPI Number : 1063071090
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ELIZABETH YOUNG
Provider Business Mailing Address
First Line : 5549 N PICCADILLY
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-1443
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5549 N PICCADILLY
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-1443
Country : US
Telephone Number : 248-735-8080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2019
Last Update Date : 04/04/2023

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Directions to “ LAUREN ELIZABETH YOUNG ” Practice Location

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