TAYLOR LYNN LEBORGNE


Address: 15 E Chestnut St, Augusta, ME 04330-5736
Phone: 2076261561

TAYLOR LYNN LEBORGNE (NPI# 1710546619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710546619
Entity Type Individual
Full Name TAYLOR LYNN LEBORGNE
Credential PA
Practice Address 15 E Chestnut St
Augusta
ME 04330-5736
Practice Telephone 2076261561
Practice Fax Number 2076261849
Mailing Telephone 2076261561
Mailing Fax Number 2076261849
Enumeration Date 2019-06-13
Last Update Date 2020-07-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine PA1960 ME Allopathic & Osteopathic Physicians
Y 363A00000X Physician Assistant PA1960 ME Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 15 E CHESTNUT ST
City AUGUSTA
State ME
Zip Code 04330-5736

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356348775 Carrie L. Bolander Obstetrics & Gynecology 15 E Chestnut St, Augusta, ME 04330-5736 2005-06-30
1962027334 Salam Al-omaishi Student in an Organized Health Care Education/Training Program 15 E Chestnut St, Augusta, ME 04330-5736 2020-06-11
1710502182 Kevin Connolly Student in an Organized Health Care Education/Training Program 15 E Chestnut St, Augusta, ME 04330-5736 2020-06-11
1215552674 Sarah Horton Student in an Organized Health Care Education/Training Program 15 E Chestnut St, Augusta, ME 04330-5736 2020-06-11
1730704198 Holly Wadman Student in an Organized Health Care Education/Training Program 15 E Chestnut St, Augusta, ME 04330-5736 2020-06-11
1811512288 Caitlin Bevvino-ring Student in an Organized Health Care Education/Training Program 15 E Chestnut St, Augusta, ME 04330-5736 2020-06-11
1366075400 Louise Y Langlais Nurse Practitioner 15 E Chestnut St, Augusta, ME 04330-5736 2020-02-18
1356900823 Andrea Loving Student in an Organized Health Care Education/Training Program 15 E Chestnut St, Augusta, ME 04330-5736 2019-06-10
1871152330 Breanna Glynn Student in an Organized Health Care Education/Training Program 15 E Chestnut St, Augusta, ME 04330-5736 2019-06-10
1255990644 Savannah Chambers Student in an Organized Health Care Education/Training Program 15 E Chestnut St, Augusta, ME 04330-5736 2019-06-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770181877 Renewal Family Center, LLC Community/Behavioral Health 10 Learners Drive, Augusta, ME 04330 2020-10-12
1134748759 Chelsea Simone Koch Registered Nurse 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 2020-04-14
1790238442 Nicole Lacrosse Behavioral Analyst 53 Hayden Rd, Augusta, ME 04330 2016-07-29
1093176844 Richard J. Larrabee Counselor 312 Townhouse Road, Chelsea, ME 04330 2016-03-08
1376910984 Sarah C. A. Tatlock Social Worker 41 Anthony Ave, Augusta, ME 04330 2015-08-31
1457728180 Va Maine Health General Acute Care Hospital 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 2015-08-28
1043696842 Megan Arsenault Pharmacist 403 Water Street, Augusta, ME 04330 2015-08-04
1205219987 Trevor Holbert Audiologist 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 2015-06-30
1659787836 Hannah M. Pullen Occupational Therapy Assistant 12 Shuman Ave Ste 16, Augusta, ME 04330 2014-07-08
1831469899 Tanya Bernadette Quarterman Specialist 153 Hospital St Ste 13, Augusta, ME 04330 2012-01-09
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306443346 Margaret Howard Physician Assistant 1120 15th St # Ba8222, Augusta, GA 30912-0004 2020-10-02
1932740529 Karmen Littlejohn Elsen Physician Assistant 1120 15th St Professional Bld 1, Augusta, GA 30912-0004 2019-10-04
1821643313 Alicia M Sanborn Physician Assistant 21 Enterprise Dr, Augusta, ME 04330-7894 2019-08-02
1750856332 Annie Ruth Dennis-king Physician Assistant 1120 15th St # Bi-3088, Augusta, GA 30912-0004 2018-10-10
1649745415 Sara Bailey Physician Assistant 3486 Peach Orchard Rd, Augusta, GA 30906-5214 2018-10-09
1386154045 Anna Louise Walker Physician Assistant 1120 15th St Digestive Health Center Ad 2226, Augusta, GA 30912-0001 2017-10-09
1801337779 Women's Health of Augusta Physician Assistant 1303 Dantignac St Ste 2500, Augusta, GA 30901-2792 2017-03-13
1376090571 Kacee Camp Morris Physician Assistant 1350 Walton Way Fl 2, Augusta, GA 30901-2612 2016-09-06
1366807216 Ashley Andrews Macdearmid Physician Assistant 15 Enterprise Dr Ste 100, Augusta, ME 04330-7998 2015-12-19
1124490255 John R Martin Physician Assistant 3651 Wheeler Rd., Augusta, GA 30909 2015-10-28
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Competitor

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City AUGUSTA
Zip Code 04330

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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