Individual
LYNN OWEN TAGGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 GENESEE ST, ONEIDA, NY 13421-2611
(315) 363-6000
Mailing address
218 W SHORE DR, MILTON, DE 19968-1147
(202) 365-0920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-007207
VA
363A00000X
Physician Assistant
1730
AL
363A00000X
Physician Assistant
4650
TN
363AM0700X
Medical Physician Assistant
Primary
C5-001-1646
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2019
Last updated
04/15/2025
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