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Individual
LISA TAYLOR
Active
Individual
LISA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
225787
NC
363LF0000X
Family Nurse Practitioner
Primary
1076566
TX
363LF0000X
Family Nurse Practitioner
R235120
MD
390200000X
Student in an Organized Health Care Education/Training Program
225787
NC
Other
Enumeration date
09/24/2014
Last updated
06/20/2022
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