Provider Demographics
NPI:1881875144
Name:LEHMANN-TAYLOR, ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:LEHMANN-TAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5708 E LAKE SAMMAMISH PKWY SE
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-8942
Mailing Address - Country:US
Mailing Address - Phone:425-688-5488
Mailing Address - Fax:425-233-6269
Practice Address - Street 1:5708 E LAKE SAMMAMISH PKWY SE
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-8942
Practice Address - Country:US
Practice Address - Phone:425-688-5488
Practice Address - Fax:425-233-6269
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-15
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA14059207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB32500Medicaid
WAAB32500Medicaid