Lara Renee Young, P.A.-C
Physician Assistant, Medical in Akron, OH. Individual provider (NPI-1).
NPI number1023358751
StatusActive
Last updated in NPPESJun 13, 2019
Details
- NPI
- 1023358751
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lara Renee Young
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2013
- Last updated
- Jun 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 50.004965RX | OH | Yes |
| 363AM0700X | Physician Assistant, Medical | B640536866330 | FL |
Practice location
150 Cross StAkron, OH 44311-1026
Phone 330-996-9141
Mailing address
2962 Vincent RdSilver Lake, OH 44224-2956
Phone 330-414-9877
Other practice locations
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