MS. Lisa Diane Taylor, PA-C

NPI #1790110690 in Montgomery, Texas

Provider Information

NPI Number: 1790110690
Entity Type: Individual
Name: MS. Lisa Diane Taylor, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 10, 2013
Last Updated: Jul 1, 2022

Practice Location

Address: 59 LA COSTA DR
City: Montgomery
State: Texas
ZIP Code: 77356-5352
Phone: (281) 660-9499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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