Individual
MARISSA LORRAINE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(952) 947-4700
Mailing address
116 PENLEY CT, FORT KNOX, KY 40121-6003
(502) 756-1374
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
13598
NC
Other
Enumeration date
06/06/2019
Last updated
07/20/2026
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