# DIAMOND STATE PRIMARY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386246940
- **Authorized official:** DR. IMELYN FERNANDEZ LAHEY MD (OWNER)
- **Authorized official phone:** (302) 838-2210

## Contact information

- **Practice address:** 1400 PEOPLES PLZ STE 305, NEWARK, DE 19702-5708
- **Practice address phone:** (302) 838-2210
- **Practice address fax:** (302) 838-2129
- **Mailing address:** 1400 PEOPLES PLZ STE 305, NEWARK, DE 19702-5708
- **Mailing address phone:** (603) 991-4824
- **Mailing address fax:** (302) 838-2129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2020
- **Last updated:** 10/15/2026