Lisa A Young DO PLLC
Family Medicine in Show Low, AZ. Organization (NPI-2).
NPI number1982133542
StatusActive
Last updated in NPPESJun 8, 2017
Details
- NPI
- 1982133542
- Entity type
- Organization (NPI-2)
- Legal business name
- Lisa A Young DO PLLC
- Organization subpart
- No
- Enumeration date
- Jun 7, 2017
- Last updated
- Jun 8, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 006224 | AZ | Yes |
Practice location
2200 E Show Low Lake RdShow Low, AZ 85901-7831
Phone 928-537-4375
Mailing address
2960 S Briarwood LnPinetop, AZ 85935-7379
Phone 970-371-4260
Authorized official
Lisa Ann Young
DO, Owner
9703714260
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 27 Family Medicine Physician providers in Show Low · All 582 providers in Show Low
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