Provider Demographics
NPI:1164201109
Name:SMITH-TAYLOR, LEXI
Entity Type:Individual
Prefix:
First Name:LEXI
Middle Name:
Last Name:SMITH-TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 W 37TH ST APT 612
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-1141
Mailing Address - Country:US
Mailing Address - Phone:410-409-9453
Mailing Address - Fax:
Practice Address - Street 1:505 W 37TH ST APT 612
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-1141
Practice Address - Country:US
Practice Address - Phone:410-409-9453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach