Provider Demographics
NPI:1578679775
Name:TAYLOR, LYNNE P (MD)
Entity type:Individual
Prefix:DR
First Name:LYNNE
Middle Name:P
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 356465
Mailing Address - Street 2:UNIVERSITY OF WASHINGTON NEUROLOGY
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6465
Mailing Address - Country:US
Mailing Address - Phone:206-543-2340
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:UNIVERSITY OF WASHINGTON NEUROLOGY
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6465
Practice Address - Country:US
Practice Address - Phone:206-543-2340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00025833207RH0003X, 2084N0400X
WA0258332084H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No2084H0002XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0039590OtherLABOR & INDUSTRY
130010346OtherRAILROAD MEDICARE
WA8305344Medicaid
WA805168600OtherIDAHO MEDICAID
WAMD833WAOtherALASKA MEDICAID
WATA7363OtherBLUE SHIELD
WAUS0861473OtherAETNA/USHC SPECIALIST
WA805168600OtherIDAHO MEDICAID
WATA7363OtherBLUE SHIELD
WA0039590OtherLABOR & INDUSTRY