NPI

Courtney Chanel Young

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Individual
Enumeration date
2019-01-26
Last updated
2019-01-26

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
5515 Pembrook Pl
City
Lansing MI
Postal code
48917-3953
Phone
(517) 763-5674

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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