Provider Demographics
NPI:1851734149
Name:TAYLOR, LORRIE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LORRIE
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:LORRIE
Other - Middle Name:
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 518
Mailing Address - Street 2:
Mailing Address - City:BARBOURVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40906-0518
Mailing Address - Country:US
Mailing Address - Phone:606-545-0400
Mailing Address - Fax:606-545-0433
Practice Address - Street 1:215 TREUHAFT BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906-7361
Practice Address - Country:US
Practice Address - Phone:606-545-0400
Practice Address - Fax:606-545-0433
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3008009363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100256960Medicaid
KYK105990Medicare PIN