Healthcare Provider Details

I. General information

NPI: 1477505352
Provider Name (Legal Business Name): LYNN M TAYLOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3949 N MAIN ST
FINDLAY OH
45840-4200
US

IV. Provider business mailing address

3949 N MAIN ST
FINDLAY OH
45840-4200
US

V. Phone/Fax

Practice location:
  • Phone: 419-423-3888
  • Fax: 419-423-4475
Mailing address:
  • Phone: 419-423-3888
  • Fax: 419-423-4475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35077569
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: