Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | 2397 | NC |
NPI | 1306321203 |
---|---|
Provider Name | Lynne Wilson Taylor |
First Address | Raleigh, NC 27612-2358 |
Second Address | Cary, NC 27513-5597 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2018 |
Last Update Date | 27/09/2018 |