Laurens D. Young M.D.

NPI 1023047537 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1023047537
Gender Male
Enumeration Date 06/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
11514 N PORT WASHINGTON RD
SUITE 4
MEQUON WI, 53092-3457, US
Phone (262) 241-7025
Fax
Business Location
11514 N PORT WASHINGTON RD
SUITE 4
MEQUON WI, 53092-3457, US
Phone
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Wisconsin
License Number 18110
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According to our database, Dr. Laurens D. Young M.D. NPI is 1023047537, taxonomy code is 2084P0800X and license number is 18110, license state is located at Wisconsin. Laurens D. Young M.D. physically located at 11514 N Port Washington Rd, Mequon WI, 53092-3457. NPI Number Laurens D. Young M.D. has the Individual type.

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1023047537 NPI number is provided on an as is basis without warranty of any kind. 1023047537 is maintained by the National Plan & Provider Enumeration System. The contents of Laurens D. Young M.D. are for informational purposes only.