Young, Lydia Mock
Young, Lydia Mock is an individual health care provider with primary practice located at 8595 Picardy Ave , Baton Rouge LA 70809-3670. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Young, Lydia Mock can be contacted via phone (225) 763-4950.Contact Information
Primary practice address
8595 Picardy Ave
Baton Rouge LA 70809-3670
Phone: (225) 763-4950
Fax: (225) 763-4066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4313 | Louisiana |
Profile Details
| NPI number | 1326041849 |
|---|---|
| LBN Legal business name | Young, Lydia Mock |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2005 |
| Last updated | Jul 9th, 2009 - about 16 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 | 1326041849 | NPPES |
| Louisiana | MEDICAID | 1166839 | |
| Louisiana | Other | P00218784 |
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