IndividualActive
Lisa Taylor, MD
NPI 1962640920 · Pediatric Endocrinology Physician · Boise, ID
Provider details
- NPI number
- 1962640920
- Entity type
- Individual
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- A106188 (CA)
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2009-01-29
- Last updated
- 2021-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.