MEDICARE: MS. LANA JEAN TAYLOR RN

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	163W00000X	Registered Nurse	RN-173822	CO

General Provider Information

NPI Number	:	1841443660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LANA JEAN TAYLOR RN

Provider Business Mailing Address
First Line	:	2108 ARAPAHOE ST
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-2301
Country	:	US
Telephone Number	:	303-518-6459
Fax Number	:

Provider Business Practice Location Address
First Line	:	3525 W OXFORD AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80236-3127
Country	:	US
Telephone Number	:	303-866-7712
Fax Number	:

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

Provider Enumeration Date	:	10/23/2008
Last Update Date	:	10/23/2008

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