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NPI Code Detail

MEDICARE: LAUREN TAYLOR

MEDICARE: LAUREN TAYLOR
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1861276735
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN TAYLOR
Provider Business Mailing Address
First Line : 21200 KITTRIDGE ST APT 1137
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91303-3039
Country : US
Telephone Number : 951-332-1430
Fax Number :
Provider Business Practice Location Address
First Line : 4281 KATELLA AVE STE 207
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-6515
Country : US
Telephone Number : 858-547-9803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2023
Last Update Date : 08/22/2023

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Directions to “ LAUREN TAYLOR ” Practice Location

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