Provider Demographics
NPI:1306955349
Name:TAYLOR, LORI B (MD)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:B
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:12845 POINTE DEL MAR WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-3862
Mailing Address - Country:US
Mailing Address - Phone:858-794-7337
Mailing Address - Fax:858-794-7338
Practice Address - Street 1:12845 POINTE DEL MAR WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3862
Practice Address - Country:US
Practice Address - Phone:858-794-7337
Practice Address - Fax:858-794-7338
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2012-06-25
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Provider Licenses
StateLicense IDTaxonomies
CAA 055826208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG52176Medicare UPIN