1043174295 NPI number — TAYLOR LAWLESS MEYER RDN, CSO, LDN

Table of content: TAYLOR LAWLESS MEYER RDN, CSO, LDN (NPI 1043174295)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043174295 NPI number — TAYLOR LAWLESS MEYER RDN, CSO, LDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MEYER
Provider First Name:
TAYLOR
Provider Middle Name:
LAWLESS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RDN, CSO, LDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LAWLESS
Provider Other First Name:
TAYLOR
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1043174295
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21451 RIVER RANCH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ESTERO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33928-3224
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10600 CHEVROLET WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ESTERO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33928-4421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-500-2610
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/11/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  ND7455 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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