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NPI Code Detail

MEDICARE: LAUREN TAYLOR

MEDICARE:   LAUREN  TAYLOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant14197145-1206UT

General Provider Information

NPI Number : 1598401499
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN TAYLOR
Provider Business Mailing Address
First Line : 1932 N 1450 E
Second Line :
City : PROVO
State : UT
Zip : 84604-5758
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1932 N 1450 E
Second Line :
City : PROVO
State : UT
Zip : 84604-5758
Country : US
Telephone Number : 801-362-5830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2022
Last Update Date : 12/10/2025

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Directions to “ LAUREN TAYLOR ” Practice Location

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