Provider Demographics
NPI:1982884581
Name:YOUNG, LASHAWN MICHELLE
Entity type:Individual
Prefix:MS
First Name:LASHAWN
Middle Name:MICHELLE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 NSA BAHRAIN
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09834
Mailing Address - Country:BH
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PSC 451 BOX 340
Practice Address - Street 2:MEDICAL
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09834
Practice Address - Country:BH
Practice Address - Phone:9731-785-8167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman