Individual provider · Type 1 NPI

Taylor Alexis Lis, MD, MBA

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1811835523 Active

Practice location

3401 Civic Center Blvd, Division Of General Pediatrics
Philadelphia, PA 19104

Call (215) 590-1220 Map

Mailing address

16 Greenland Ct
Princeton, NJ 08540-6761

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XMT236883 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811835523

Taylor Alexis Lis, MD, MBA's National Provider Identifier is 1811835523, issued on Mar 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 3, 2026.