Young, Lisa
Young, Lisa is an sole proprietor health care provider with primary practice located at 2222 S 16Th St Ste 410 , Lincoln NE 68502-3785. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Young, Lisa can be contacted via phone (402) 474-1511.Contact Information
Primary practice address
2222 S 16Th St Ste 410
Lincoln NE 68502-3785
Phone: (402) 474-1511
Fax: (402) 474-1611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 110069 | Nebraska |
Profile Details
| NPI number | 1487642559 |
|---|---|
| LBN Legal business name | Young, Lisa |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Jun 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487642559 | NPPES |
| Nebraska | MEDICAID | 47069-842-826 |
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