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NPI Code Detail

MEDICARE: DR. LAWRENCE ROBERT TAYLOR III DC

MEDICARE: DR. LAWRENCE ROBERT TAYLOR III DC
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
1111N00000XChiropractor273071OR

General Provider Information

NPI Number : 1225071525
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAWRENCE ROBERT TAYLOR III DC
Provider Business Mailing Address
First Line : 621 KLAMATH AVE
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-6130
Country : US
Telephone Number : 541-882-5602
Fax Number : 541-882-5897
Provider Business Practice Location Address
First Line : 621 KLAMATH AVE
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-6130
Country : US
Telephone Number : 541-882-5602
Fax Number : 541-882-5897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 03/19/2014

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