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NPI Code Detail

MEDICARE: DR. CHARLES LANE TAYLOR MD

MEDICARE: DR. CHARLES LANE TAYLOR MD
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
1207P00000XEmergency Medicine Physician20360AL

General Provider Information

NPI Number : 1073577946
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES LANE TAYLOR MD
Provider Business Mailing Address
First Line : 2401 PARKVIEW BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-1159
Country : US
Telephone Number : 719-331-9366
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR
Second Line : EVANS ARMY COMMUNITY HOSPITAL
City : FT CARSON
State : CO
Zip : 80913-4613
Country : US
Telephone Number : 701-526-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 12/08/2025

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Directions to “ DR. CHARLES LANE TAYLOR MD” Practice Location

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