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Loretta Young, LISAC

NPI 1477214799 · on the registry since 2022 · sole proprietor

Practice

Address
1362 S Vineyard Apt 2108
Mesa, AZ 85210
Phone
(832) 491-4382
Organisation at this address
Orion Developers, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona