Taylor, Lisa K

Taylor, Lisa K is an individual health care provider with primary practice located at 222 N 2Nd St Suite 215, Boise ID 83702-6109. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Taylor, Lisa K can be contacted via phone (208) 381-7340.

Contact Information

Primary practice address
222 N 2Nd St Suite 215 Boise ID 83702-6109
Phone: (208) 381-7340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A106188 California
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X M-12566 Idaho

Profile Details

NPI number 1962640920
LBN Legal business name Taylor, Lisa K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2009
Last updated Dec 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962640920 NPPES
Idaho MEDICAID 1962640920

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