Search › Maryland › 101YP2500X
Taylor Lake
NPI 1366930760 · on the registry since 2018 · sole proprietor
Practice
- Address
- 6421 Atwood St
District Heights, MD 20747 - Phone
- (301) 336-7600
- Fax
- (301) 499-2121
- Organisation at this address
- District Heights Family & Youth Services Bureau
District Heights Family And Youth Services BureauInferred from a shared address, not stated in the registry.
Additional practice sites
- 3814 12th St Ne, Washington, DC
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 106S00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland