MEDICARE: MS. ELIZABETH LYNN YOUNKER AU.D.

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	231H00000X	Audiologist	23002536A	IN

General Provider Information

NPI Number	:	1841623188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH LYNN YOUNKER AU.D.

Provider Business Mailing Address
First Line	:	209 FLORENCE AVE
Second Line	:
City	:	GRANGER
State	:	IN
Zip	:	46530-8048
Country	:	US
Telephone Number	:	574-246-1000
Fax Number	:	574-246-8777

Provider Business Practice Location Address
First Line	:	100 NAVARRE PL
Second Line	:	SUITE 4430
City	:	SOUTH BEND
State	:	IN
Zip	:	46601-1156
Country	:	US
Telephone Number	:	574-246-1000
Fax Number	:

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

Provider Enumeration Date	:	08/09/2013
Last Update Date	:	04/16/2019

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