MEDICARE: MRS. LORI ANN TAYLOR MS, CCC-SLP

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	235Z00000X	Speech-Language Pathologist	SLP4761	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740317163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LORI ANN TAYLOR MS, CCC-SLP

Provider Business Mailing Address
First Line	:	7006 S FOREST AVE
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-9171
Country	:	US
Telephone Number	:	480-699-6737
Fax Number	:

Provider Business Practice Location Address
First Line	:	7006 S FOREST AVE
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-9171
Country	:	US
Telephone Number	:	480-699-6737
Fax Number	:

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

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	07/09/2007

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Directions to “ MRS. LORI ANN TAYLOR MS, CCC-SLP” Practice Location

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