Individual
DR. LAINE ELIZABETH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
230 S FRONTAGE RD, NEW HAVEN, CT 06519-1124
(480) 206-2928
Mailing address
230 S FRONTAGE RD, NEW HAVEN, CT 06519-1124
(480) 206-2928
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
R890
AZ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
047886
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047886
MEDICAL LICENSE
CT
01
—
OS11578
LICENSE
FL
01
—
R890
TRAINING LICENSE
AZ
Enumeration date
05/23/2007
Last updated
07/17/2013
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