Individual
DR. DIANE DE LISI TIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1438
(570) 271-6298
(570) 271-5841
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
046430
CT
207VM0101X
Maternal & Fetal Medicine Physician
25MB08158900
NJ
207VM0101X
Maternal & Fetal Medicine Physician
Primary
OS021147
PA
207VM0101X
Maternal & Fetal Medicine Physician
V1909
TX
207VX0000X
Obstetrics Physician
046430
CT
Other
Enumeration date
06/12/2008
Last updated
09/05/2024
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