Provider Demographics
NPI:1407837644
Name:YOUNG, LUCY HY (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:LUCY
Middle Name:HY
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 CHARLES ST
Mailing Address - Street 2:MASS EYE AND EAR INF
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3002
Mailing Address - Country:US
Mailing Address - Phone:617-573-3710
Mailing Address - Fax:617-573-3698
Practice Address - Street 1:243 CHARLES ST MEEI
Practice Address - Street 2:MASSACHUSETTS EYE AND EAR INFIRMARY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3002
Practice Address - Country:US
Practice Address - Phone:617-573-3710
Practice Address - Fax:617-573-3698
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA55323207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ08409OtherBCBS OF MA
MA055323OtherTUFTS HEALTH PLAN
MA3047971Medicaid
MAJ08409Medicare ID - Type Unspecified
MA3047971Medicaid