Provider Demographics
NPI:1770570566
Name:TAYLOR, NATHAN LEWIS (MD)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:LEWIS
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1743 CREEKSIDE DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3540
Mailing Address - Country:US
Mailing Address - Phone:916-983-2307
Mailing Address - Fax:916-983-8528
Practice Address - Street 1:1743 CREEKSIDE DR
Practice Address - Street 2:SUITE 130
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3540
Practice Address - Country:US
Practice Address - Phone:916-983-2307
Practice Address - Fax:916-983-8528
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2021-12-17
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Provider Licenses
StateLicense IDTaxonomies
CAC128084207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAVAD000Medicare UPIN
FLVAD000Medicare UPIN