Healthcare Provider Details

I. General information

NPI: 1588241186
Provider Name (Legal Business Name): TAYLOR LYNNE MILLAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2021
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 CONSTANTIN BLVD STE 200
BATON ROUGE LA
70809-3481
US

IV. Provider business mailing address

8200 CONSTANTIN BLVD STE 200
BATON ROUGE LA
70809-3481
US

V. Phone/Fax

Practice location:
  • Phone: 225-709-8633
  • Fax: 225-709-8634
Mailing address:
  • Phone: 225-709-8633
  • Fax: 225-709-8634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number351051
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberT-4306
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: