MEDICARE: DR. LYNNE P 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
1	207RH0003X	Hematology & Oncology Physician	MD00025833	WA
2	2084H0002X	Hospice and Palliative Medicine (Psychiatry & Neurology) Physician	025833	WA
3	2084N0400X	Neurology Physician	MD00025833	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	130010346	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0039590	OTHER	WA	LABOR & INDUSTRY
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	TA7363	OTHER	WA	BLUE SHIELD
7	US0861473	OTHER	WA	AETNA/USHC SPECIALIST

General Provider Information

NPI Number	:	1578679775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNNE P TAYLOR MD

Provider Business Mailing Address
First Line	:	PO BOX 356465
Second Line	:	UNIVERSITY OF WASHINGTON NEUROLOGY
City	:	SEATTLE
State	:	WA
Zip	:	98195-6465
Country	:	US
Telephone Number	:	206-543-2340
Fax Number	:

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST
Second Line	:	UNIVERSITY OF WASHINGTON NEUROLOGY
City	:	SEATTLE
State	:	WA
Zip	:	98195-6465
Country	:	US
Telephone Number	:	206-543-2340
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	01/20/2017

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