Individual
LISA M TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 BEL MARIN KEYS BLVD STE D1, NOVATO, CA 94949-5709
(562) 841-1183
Mailing address
16 ANDREAS CIR, NOVATO, CA 94945-1229
(562) 841-1183
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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