| Doctor Name: | DR. LARI CALTON YOUNG |
| NPI Number: | 1861510232 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 2012-01957 |
| Business Practice Address: | 2512 Reynolda Rd Winston Salem, NC - 271064618 |
| Business Phone Number: | 3362938072 |
| Business Fax Number: | |
| Mailing Address: | 2512 Reynolda Rd, WINSTON SALEM |
| State: | NC |
| Postal Code: | 271064618 |
| Phone Number: | 3363069393 |
| Fax Number: | |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 01/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2012-01957 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |