Taylor, Lisa Marie

Taylor, Lisa Marie is an individual health care provider with primary practice located at 1746 Cole Blvd Suite 150, Lakewood CO 80401-3208. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Taylor, Lisa Marie can be contacted via phone (303) 914-8800.

Contact Information

Primary practice address
1746 Cole Blvd Suite 150 Lakewood CO 80401-3208
Fax: (303) 716-3777
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 45448 Colorado
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 45448 Colorado

Profile Details

NPI number 1205036662
LBN Legal business name Taylor, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2007
Last updated Sep 9th, 2022 - 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 1205036662 NPPES
Colorado MEDICAID 85332216

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