Individual
MRS. TAYLOR CHRISTENSEN MAHTOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4650 AMBASSADOR CAFFERY PKWY STE 101, LAFAYETTE, LA 70508-6926
(337) 470-7870
(337) 470-7879
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0001
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
303567
LA
Other
Enumeration date
09/29/2016
Last updated
12/18/2020
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