Provider Demographics
NPI:1942613252
Name:YOUNGS, LORRIE LORRAINE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:LORRIE
Middle Name:LORRAINE
Last Name:YOUNGS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:LORRIE
Other - Middle Name:LORRAINE
Other - Last Name:MILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CRNP
Mailing Address - Street 1:14154 RUBY LN
Mailing Address - Street 2:
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-8903
Mailing Address - Country:US
Mailing Address - Phone:989-773-5921
Mailing Address - Fax:989-773-4319
Practice Address - Street 1:G3169 BEECHER RD STE 100
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3611
Practice Address - Country:US
Practice Address - Phone:810-620-0250
Practice Address - Fax:810-620-0255
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PANP0033386363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology