Individual ProviderLashea YoungPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address40 Autumn Fern Trl, Lillington, NC 27546-5155(910) 364-0970(256) 592-9001PECOS EnrollmentBased on the most recent information from CMS, provider Lashea Young is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1578029625Provider TypeIndividualFull NameYoung, LasheaTitleMs.CredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date2/13/2019Last Updated2/13/2019Contact InformationPractice LocationPractice Address40 Autumn Fern Trl, Lillington, NC 27546-5155Phone(910) 364-0970FaxUnlisted FaxMailing LocationMailing Address1813 Cinema Dr Apt 1813, Fuquay Varina, NC 27526-4500Phone(256) 592-9001FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0010-08838North Carolina