MEDICARE: LASHON MARIE 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
1	164X00000X	Licensed Vocational Nurse	738346	CA

General Provider Information

NPI Number	:	1952272478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LASHON MARIE TAYLOR

Provider Business Mailing Address
First Line	:	12917 CERISE AVE
Second Line	:
City	:	HAWTHORNE
State	:	CA
Zip	:	90250-5520
Country	:	US
Telephone Number	:	310-675-4431
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 W 108TH ST APT 4
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-4355
Country	:	US
Telephone Number	:	310-675-4431
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	01/16/2026

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Directions to “ LASHON MARIE TAYLOR ” Practice Location

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