Healthcare Provider Details

I. General information

NPI: 1578679775
Provider Name (Legal Business Name): LYNNE P TAYLOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 01/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST UNIVERSITY OF WASHINGTON NEUROLOGY
SEATTLE WA
98195-6465
US

IV. Provider business mailing address

PO BOX 356465 UNIVERSITY OF WASHINGTON NEUROLOGY
SEATTLE WA
98195-6465
US

V. Phone/Fax

Practice location:
  • Phone: 206-543-2340
  • Fax:
Mailing address:
  • Phone: 206-543-2340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD00025833
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2084H0002X
TaxonomyHospice and Palliative Medicine (Psychiatry & Neurology) Physician
License Number025833
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD00025833
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: