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LEWIS D TAYLOR PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1336157924

Individual Registrant:
 LEWIS D TAYLOR PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
423 N MAIN ST  ROSSVILLE, KS 66533-9803 US
Tel: 785-584-6705  Fax: 785-584-6817

Contact information for business:
423 N MAIN ST  ROSSVILLE, KS 66533-9803 US
Tel: 785-584-6705  Fax: 785-584-6817

Registration Information:
NPI: 1336157924
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
KS15-00653

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
100336570CKS05




HEALTH CARE JOBS KS - Page 1

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