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NPI Code Detail

MEDICARE: LAURA L YOUNG LIGON FNP

MEDICARE: LAURA L YOUNG LIGON FNP
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
1363L00000XNurse Practitioner0024145340VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41831187095OTHERVAHEALTHNET FEDERAL SERVICES

General Provider Information

NPI Number : 1831187095
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA L YOUNG LIGON FNP
Provider Business Mailing Address
First Line : PO BOX 1360
Second Line :
City : DANVILLE
State : VA
Zip : 24543-1360
Country : US
Telephone Number : 434-792-1433
Fax Number : 434-797-2807
Provider Business Practice Location Address
First Line : 1040 MAIN ST
Second Line :
City : DANVILLE
State : VA
Zip : 24541-1816
Country : US
Telephone Number : 434-792-1433
Fax Number : 434-797-2807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 09/14/2012

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Directions to “ LAURA L YOUNG LIGON FNP” Practice Location

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