Healthcare Provider Details

I. General information

NPI: 1376488825
Provider Name (Legal Business Name): TAYLOR LINDSEY YAMAUCHI MD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 N REVERE CT SUITE 4100, ROOM 4102, F546
AURORA CO
80045
US

IV. Provider business mailing address

1890 N REVERE CT SUITE 4100, ROOM 4102, F546
AURORA CO
80045
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-6018
  • Fax:
Mailing address:
  • Phone: 303-724-6018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTL.0011287
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: