Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 68579 | GA |
Y | 208600000X | Surgeon | 68579 | GA |
N | 208200000X | Surgeon | MD61103790 | WA |
N | 208600000X | Surgeon | MD61103790 | WA |
N | 2086S0102X | Surgical Critical Care | 68579 | GA |
N | 2086S0102X | Surgical Critical Care | MD61103790 | WA |
N | 2086S0105X | Surgery of the Hand | 68579 | GA |
N | 2086S0127X | Trauma Surgeon | 68579 | GA |
N | 2086S0127X | Trauma Surgeon | MD61103790 | WA |
NPI | 1518118678 |
---|---|
Provider Name | Lester Shinchen Young |
First Address | Yakima, WA 98902-3799 |
Second Address | Yakima, WA 98902-3799 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2008 |
Last Update Date | 07/02/2022 |