Individual provider · Type 1 NPI

Taylor Christensen Mahtook, PA

Medical Physician Assistant · Lafayette, LA

NPI number 1932658002 Active

Practice location

4650 Ambassador Caffery Pkwy Ste 101
Lafayette, LA 70508-6926

Call (337) 470-7870 Map

Fax (337) 470-7879

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Other practice locations

  • 10319 Jefferson Hwy, Baton Rouge, LA 70809-2730 · (225) 214-9352

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X303567 (LA)

Medical Physician Assistant: Definition to come...

2 other providers at this address

Other medical physician assistant providers in Lafayette

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About NPI 1932658002

Taylor Christensen Mahtook, PA's National Provider Identifier is 1932658002, issued on Sep 29, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lafayette, LA. The record was last updated on Dec 18, 2020.