Individual
MS. LOIS JANE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CANP
Contact information
Practice address
3400 E MARKET ST, LOGANSPORT, IN 46947-2295
(574) 722-9366
(574) 722-5987
Mailing address
3400 E MARKET ST, LOGANSPORT, IN 46947-2295
(574) 722-9366
(574) 722-5987
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001445A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000548096
BLUE CROSS
IN
05
—
200860400
—
IN
01
—
P00409786
RAILROAD
IN
Enumeration date
05/11/2007
Last updated
08/28/2019
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