Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Lisa Marie Landry-Taylor, PA

Individual provider Physician Assistant · NPI 1578602298

MS. Lisa Marie Landry-Taylor, PA is a Physician Assistant in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12021 Wilmington Ave
Los Angeles, CA 90059-3019
Phone: (310) 668-5103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA11431 (CA)

Record details

NPI number1578602298
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 6, 2007
Last updated in NPPESJuly 8, 2007

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