Individual
LANCE A TALMAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2150 W CENTRAL AVE, TOLEDO, OH 43606-3846
(419) 291-2200
(419) 479-3297
Mailing address
2150 W CENTRAL AVE, TOLEDO, OH 43606-3846
(419) 291-2200
(419) 479-3297
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35027676
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000064947
ANTHEM MEDICAID
OH
01
—
00099
PARAMOUNT
OH
05
—
0246559
—
OH
01
—
142085
CARE CHOICE
OH
01
—
344428256097
CARESOURCES
OH
01
—
4101220
AETNA
OH
05
—
4118789
—
MI
01
—
6805
HPM
MI
01
—
OC07143
NATIONWIDE
OH
Enumeration date
06/27/2005
Last updated
04/15/2008
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