| NPI | 1942376165 |
|---|---|
| Other Name | LORI J TATAY-YOUNG |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MI 5601004900) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH EL31055) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2024-05-29 |