Individual ProviderLydia YoungmanMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8615 S Tacoma Way, Lakewood, WA 98499-4542(253) 588-3355(206) 766-0987PECOS EnrollmentBased on the most recent information from CMS, provider Lydia Youngman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1659821932Provider TypeIndividualFull NameYoungman, LydiaCredentialLMPGenderFemaleSole ProprietorYesEnumeration Date10/10/2016Last Updated10/10/2016Contact InformationPractice LocationPractice Address8615 S Tacoma Way, Lakewood, WA 98499-4542Phone(253) 588-3355FaxUnlisted FaxMailing LocationMailing Address104 Tacoma Blvd S, Apt8, Pacific, WA 98047-1028Phone(206) 766-0987FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA60307328Washington